Radiolabeled compounds targeting the prostate-specific membrane antigen

ABSTRACT

A compound comprising a prostate specific membrane antigen (PSMA)-targeting moiety of the following formula or of a salt or a solvate thereof. R 0  is O or S. Each of R 1a , R 1b  and R 1c  may be —CO 2 H, —SO 2 H, —SO 3 H, —PO 2 H, or —PO 3 H 2 , for example. R 2  may be methylene or a derivative thereof, propylene or a derivative thereof, or a derivative of ethylene, optionally substituted. R 3  is a linker. When the PSMA-targeting moiety is linked to a radiolabeling group, the compound may be used as an imaging agent or therapeutic agent for PSMA-expressing diseases/conditions.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No. 17/371,587, filed Jul. 9, 2021, which is a continuation of International Application No. PCT/CA2020/050864, filed Jun. 19, 2020, which claims the benefit of U.S. Provisional Application No. 62/865,088, filed Jun. 21, 2019, and U.S. Provisional Application No. 63/006,643, filed Apr. 7, 2020, the disclosure of each of which is incorporated by reference herein in its entirety.

FIELD OF INVENTION

The present invention relates to radiolabelled compounds for in vivo imaging or treatment of diseases or conditions characterized by expression of prostate-specific membrane antigen, particularly compounds with low uptake in salivary glands and/or kidneys.

BACKGROUND OF THE INVENTION

Prostate-specific membrane antigen (PSMA) is a transmembrane protein that catalyzes the hydrolysis of N-acetyl-aspartylglutamate to glutamate and N-acetylaspartate. PSMA is selectively overexpressed in certain diseases and conditions compared to most normal tissues. For example, PSMA is overexpressed up to 1,000-fold in prostate tumors and metastases. Due to its pathological expression pattern, various radiolabeled PSMA-targeting constructs have been designed and evaluated for imaging of PSMA-expressing tissues and/or for therapy of diseases or conditions characterized by PSMA expression.

A number of radiolabeled PSMA-targeting derivatives of lysine-urea-glutamate (Lys-ureido-Glu) have been developed, including ¹⁸F-DCFBC, ¹⁸F-DCFPyL, ⁶⁸Ga-PSMA-HBED-CC, ⁶⁸Ga-PSMA-617, ⁶⁸Ga-PSMA I & T (see FIG. 1 ) as well as versions of the foregoing labelled with alpha emitters (such as ²²⁵Ac) or beta emitters (such as ¹⁷⁷Lu or ⁹⁰Y).

In clinical trials, PSMA-617 radiolabeled with therapeutic radionuclides, such as ¹⁷⁷Lu and ²²⁵Ac, has shown promise as an effective systemic treatment for metastatic castration resistant prostate cancer (mCRPC). However, dry mouth (xerostomia), altered taste and adverse renal events are common side effects of this treatment, due to high salivary gland and kidney accumulation of the radiotracer (Hofman et al., 2018 The Lancet 16(6):825-833; Rathke et al. 2019 Eur J Nucl Med Mol Imaging 46(1):139-147; Sathekge et al. 2019 Eur J Nucl Med Mol Imaging 46(1):129-138). Radiotracer accumulation in the kidneys and salivary gland is therefore a limiting factor that reduces the maximal cumulative administered activity that can be safely given to patients, which limits the potential therapeutic effectiveness of Lys-urea-Glu based radiopharmaceuticals (Violet et al. 2019 J Nucl Med. 60(4):517-523). There is therefore a need for new radiolabeled PSMA-targeting compounds, particularly compounds that have low accumulation in the salivary glands and/or kidneys.

No admission is necessarily intended, nor should it be construed, that any of the preceding information constitutes prior art against the present invention.

SUMMARY

Various embodiments disclosed herein relate to a compound, wherein the compound has Formula I or a salt or a solvate of Formula I:

wherein: n is 0 or 1; each of R^(1a), R^(1b) and R^(1c) is independently —CO₂H, —SO₂H, —SO₃H, —SO₄H, —PO₂H, —PO₃H or —PO₄H; when n is 0, R² is —CH₂—, —CHOH—, —CHF—, —CH₂CHOH—, —CH₂CHF—, —CH₂CHOHCH₂—, —CH₂CHFCH₂—, —(CH₂)₂CHOH—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂— or —CH₂SCH₂—; when n is 1, R² is —CH₂—, —CHOH—, —CHF—, —CH₂CHOH—, —CH₂CHF— or —(CH₂)₂—; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl;

R⁴: —O—, —S—, —NHC(O)—, —C(O)NH—,

R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; R⁶ is hydrogen or methyl; Xaa¹ is an amino acid of formula —N(R³)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; at least one R⁹ or R⁵ is

at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl, or R¹⁰ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only 1-3 heteroatoms; R⁷ is R^(X)-(Xaa²)₀₋₄,

R¹¹ is absent,

R¹² is I, Br, F, Cl, H, OH, OCH₃, NH₂, NO₂ or CH₃; Xaa², when present, is —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a radiometal; an aryl substituted with a radioisotope; a prosthetic group containing a trifluoroborate; and a prosthetic group containing a silicon-fluorine-acceptor moiety.

Various embodiments disclosed herein relate to a compound, wherein the compound has Formula II or a salt or a solvate of Formula II:

wherein:

R⁰ is O or S;

R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, OPO₃H₂, OSO₃H, —B(OH)₂, or

R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl, or alkynylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl, or heteroalkynylenyl; R⁴ is —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)—(NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, —C(O)—NH—NH; R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; R⁶ is hydrogen or methyl or ethyl; Xaa¹ is an amino acid of formula —N(R⁸)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰ is:

-   -   a linear or branched, cyclic or acyclic, and/or aromatic or         non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or         branched, cyclic or acyclic, and/or aromatic or non-aromatic         X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only         1-3 heteroatoms;     -   —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₆         aromatic ring or partially or fully aromatic fused ring system,         wherein 0-3 carbons in the aromatic ring or the partially or         fully aromatic fused ring system are replaced with N, S and/or O         heteroatoms, and wherein the optional substitutions are selected         from OH, NH₂, NO₂, halogen, C₁-C₆ alkyl, and/or C₁-C₆ alkoxyl         groups; or     -   selected from:

-   -   optionally modified with one, more than one, or a combination         of: halogen, OMe, SMe, NH₂, NO₂, CN, OH, or additional         endocyclic ring nitrogen atoms;         R⁷ is R^(X)-(Xaa²)₀₋₄,

R²⁸ is an albumin binder; Xaa² and Xaa³, when present, are independently —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a radiometal; an aryl or heteroaryl substituted with a radiohalogen; a prosthetic group containing a trifluoroborate; a prosthetic group containing a silicon-fluorine-acceptor moiety; or a prosthetic group containing a fluorophosphate, fluorosulfate, sulfonylfluoride, or a combination thereof.

In some embodiments of the compound, salt or solvate of Formula II:

R⁰ is O;

each of R^(1a), R^(1b) and R^(1c) is independently —CO₂H, —SO₂H, —SO₃H, —SO₄H, —PO₂H, —PO₃H or —PO₄H; R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂—O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl; R⁴ is —O—, —S—, —S(O) S(O)₂—, —NHC(O)—, —C(O)NH—,

R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; R⁶ is hydrogen or methyl; Xaa¹ is an amino acid of formula —N(R⁸)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰ is: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only 1-3 heteroatoms; or —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₆ aromatic ring or partially or fully aromatic fused ring system, wherein 0-3 carbons in the aromatic ring or the partially or fully aromatic fused ring system are replaced with N, S and/or O heteroatoms, and wherein the optional substitutions are selected from OH, NH₂, NO₂, halogen, C₁-C₆ alkyl, and/or C₁-C₆ alkoxyl groups; R⁷ is R^(X)-(Xaa²)₀₋₄-,

R¹¹ is absent,

R¹² is I, Br, F, Cl, H, OH, OCH₃, NH₂, NO₂ or CH₃; Xaa², when present, is —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a radiometal; an aryl substituted with a radioisotope; a prosthetic group containing a trifluoroborate; and a prosthetic group containing a silicon-fluorine-acceptor moiety.

Various embodiments disclosed herein relate to a compound comprising a prostate specific membrane antigen (PSMA)-targeting moiety of Formula III or of a salt or a solvate of Formula III:

wherein:

R⁰ is O or S;

R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, OPO₃H₂, OSO₃H, —B(OH)₂, or R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂—O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—; and R³ is a linker.

In some embodiments of the compound, salt or solvate of Formula III:

R⁰ is O;

each of R^(1a), R^(1b) and R^(1c) is independently —CO₂H, —SO₂H, —SO₃H, —SO₄H, —PO₂H, —PO₃H or —PO₄H; R² is —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, —C(O)—NH—C(CH₃)₂—, —CH₂CH(COOH)CH₂—, or —CH₂CH₂CH(COOH)—; and R³ is a linker.

Various embodiments disclosed herein relate to a compound, wherein the compound has Formula IV or a salt or a solvate of Formula IV:

wherein:

R⁰ is S or O;

R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —OPO₃H₂, —OSO₃H, —B(OH)₂, or

R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—, CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, —C(O)—NH—C(CH₃)₂—, —CH₂SeCH₂—, —CH(COOH)—, —CH₂CH(COOH)—, —CH₂CH(COOH)CH₂—, —CH₂CH₂CH(COOH)—, —CH═CH—, —CH═CHCH₂—, —C≡CCH₂—, —HC[CH₂]CH—, or —HC[CH₂]CHCH₂—, wherein HC[CH₂]CH represents a cyclopropyl ring; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl; R⁴ is —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)—(NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, —C(O)—NH—NH—,

R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; R⁶ is hydrogen or methyl or ethyl; Xaa¹ is an amino acid of formula —N(R³)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl;

-   -   at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰         is:         -   a linear or branched, cyclic or acyclic, and/or aromatic or             non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or             branched, cyclic or acyclic, and/or aromatic or non-aromatic             X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having             only 1-3 heteroatoms;         -   —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₆             aromatic ring or partially or fully aromatic fused ring             system, wherein 0-3 carbons in the aromatic ring or the             partially or fully aromatic fused ring system are replaced             with N, S and/or O heteroatoms, and wherein the optional             substitutions are selected from OH, NH₂, NO₂, halogen, C₁-C₆             alkyl, and/or C₁-C₆ alkoxyl groups; or         -   selected from:

-   -   optionally modified with one, more than one, or a combination         of: halogen, OMe, SMe, NH₂, NO₂, CN, OH, or additional         endocyclic ring nitrogen atoms;         R⁷ is R^(X)-(Xaa²)₀₋₄,

R²⁸ is an albumin binder; Xaa² and Xaa³, when present, are independently —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a metal; an aryl or heteroaryl substituted with a radioisotope; a prosthetic group containing a trifluoroborate; or a prosthetic group containing a silicon-fluorine-acceptor moiety, a fluorophosphate, a fluorosulfate, or a sulfonylfluoride; and wherein any one or any combination of amide linkages within R⁷-(Xaa¹)₁₋₄—N(R⁶)—R⁵—R⁴—R³ is optionally replaced by one or a combination selected from the group consisting of —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)—(NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, and —C(O)—NH—NH—.

Various embodiments disclosed herein relate to a compound, wherein the compound has Formula V or a salt or a solvate of Formula V:

wherein:

R⁰ is S or O;

R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —OPO₃H₂, —OSO₃H, —B(OH)₂, or

R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—, CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, —C(O)—NH—C(CH₃)₂—, —CH₂SeCH₂—, —CH(COOH)—, —CH₂CH(COOH)—, —CH₂CH(COOH)CH₂—, —CH₂CH₂CH(COOH)—, —CH═CH—, —CH═CHCH₂—, —C≡CCH₂—, —HC[CH₂]CH—, or —HC[CH₂]CHCH₂—, wherein HC[CH₂]CH represents a cyclopropyl ring; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl; R⁴ is —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)—(NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, —C(O)—NH—NH—,

R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl R⁶ is optionally in carbonyl, a phosphoryl or a sulfonyl group that is linked to the alpha-nitrogen in Xaa¹ to respectively give an amide, phosphoramidate/phosphonamidate, or sulfonamide linkage; or alternatively is: —NHC(O)—, —(NH)₂—C(O)—, —C(O)—(NH)₂—C(O)—, —OC(O)—, —OC(S)—, —NHC(S)—, —NHC(O)C(O)—, —NH—NH—C(O)—, to enjoin the alpha-nitrogen in Xaa¹. Xaa¹ is an amino acid of formula —N(R³)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰ is:

-   -   a linear or branched, cyclic or acyclic, and/or aromatic or         non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or         branched, cyclic or acyclic, and/or aromatic or non-aromatic         X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only         1-3 heteroatoms;     -   —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₆         aromatic ring or partially or fully aromatic fused ring system,         wherein 0-3 carbons in the aromatic ring or the partially or         fully aromatic fused ring system are replaced with N, S and/or O         heteroatoms, and wherein the optional substitutions are selected         from OH, NH₂, NO₂, halogen, C₁-C₆ alkyl, and/or C₁-C₆ alkoxyl         groups; or     -   selected from:

-   -   -   optionally modified with one, more than one, or a             combination of: halogen, OMe, SMe, NH₂, NO₂, CN, OH, or             additional endocyclic ring nitrogen atoms;             R⁷ is R^(X)-(Xaa²)₀₋₄,

R²⁸ is an albumin binder; Xaa² and Xaa³, when present, are independently —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a metal; an aryl or heteroaryl substituted with a radioisotope; a prosthetic group containing a trifluoroborate; or a prosthetic group containing a silicon-fluorine-acceptor moiety, a fluorophosphate, a fluorosulfate, or a sulfonylfluoride.

Various embodiments may be used for imaging PSMA-expressing tissues in a subject. Various embodiments may be used for treatment of a PSMA-expressing condition or disease in a subject.

BRIEF DESCRIPTION OF THE DRAWINGS

The features of the invention will become apparent from the following description in which reference is made to the appended drawings wherein:

FIG. 1 shows examples of prior art PSMA-targeting compounds for prostate cancer imaging.

FIG. 2 shows a synthetic scheme for HTK03149 using the solid phase approach.

FIG. 3 shows general synthetic schemes for several example compounds incorporating the Lys-ureido-Aad PSMA-binding moiety.

FIG. 4 shows general synthetic schemes for example compounds with two BF₃-labeling groups.

FIG. 5 shows reconstructed ⁶⁸Ga-labelled PET images of a mouse injected with ⁶⁸Ga-HTK03149. Images were obtained at 1 and 3 hours following the intravenous injection of ⁶⁸Ga-HTK03149 in immunodeficient mice bearing LNCaP xenografts. The solid arrow points to very high tumor accumulation. The dotted arrow points to minimal kidney accumulation.

FIG. 6 shows the chemical structures of compounds HTK03041, HTK03149, HTK03169, HTK03161, HTK03177, HTK03187, HTK03153, HTK03170, HTK03189A, HTK03189B, HTK04033, HTK04036, HTK04037, HTK04040, HTK04041, HTK04053, HTK03162, and HTK04055.

FIG. 7 shows the maximum intensity projection PET/CT images of ⁶⁸Ga-HTK03041, ⁶⁸Ga-HTK03149, ⁶⁸Ga-HTK03161, ⁶⁸Ga-HTK03169, ⁶⁸Ga-HTK03177, ⁶⁸Ga-HTK03187, ⁶⁸Ga-HTK03189A, ⁶⁸Ga-HTK03189B, ⁶⁸Ga-HTK04033, ⁶⁸Ga-HTK04036, ⁶⁸Ga-HTK04037, ⁶⁸Ga-HTK04040, ⁶⁸Ga-HTK04041, and ⁶⁸Ga-HTK04053 acquired at 1 h post-injection.

FIG. 8 shows the maximum intensity projection SPECT/CT images of ¹⁷⁷Lu-HTK03149 acquired at 1 h, 4 h, 24 h, 72 h, and 120 h post-injection (t: tumor, k: kidney, b: bladder).

FIG. 9 shows the maximum intensity projection SPECT/CT images of ¹⁷⁷Lu-HTK03153 acquired at 1 h, 4 h, 24 h, 72 h, and 120 h post-injection (t: tumor, k: kidney, b: bladder).

FIG. 10 shows the maximum intensity projection SPECT/CT images of ¹⁷⁷Lu-HTK03170 acquired at 1 h, 4 h, 24 h, 72 h, and 120 h post-injection (t: tumor, k: kidney, b: bladder).

FIG. 11 shows the maximum intensity projection SPECT/CT images of ¹⁷⁷Lu-HTK04028 acquired at 1 h, 4 h, 24 h, 72 h, and 120 h post-injection (t: tumor, k: kidney, b: bladder).

FIG. 12 shows the maximum intensity projection SPECT/CT images of ¹⁷⁷Lu-HTK04048 acquired at 1 h, 4 h, 24 h, 72 h, and 120 h post-injection (t: tumor, k: kidney, b: bladder).

FIG. 13 shows the maximum intensity projection PET/CT images of ¹⁸F-HTK03162 and ¹⁸F-HTK04055 acquired at 1 h and 2 h post-injection (t: tumor, k: kidney, b: bladder).

DETAILED DESCRIPTION

As used herein, the terms “comprising,” “having”, “including” and “containing,” and grammatical variations thereof, are inclusive or open-ended and do not exclude additional, unrecited elements and/or method steps, even if a feature/component defined as a part thereof consists or consists essentially of specified feature(s)/component(s). The term “consisting essentially of” if used herein in connection with a compound, composition, use or method, denotes that additional elements and/or method steps may be present, but that these additions do not materially affect the manner in which the recited compound, composition, method or use functions. The term “consisting of” if used herein in connection with a feature of a composition, use or method, excludes the presence of additional elements and/or method steps in that feature. A compound, composition, use or method described herein as comprising certain elements and/or steps may also, in certain embodiments consist essentially of those elements and/or steps, and in other embodiments consist of those elements and/or steps, whether or not these embodiments are specifically referred to. A use or method described herein as comprising certain elements and/or steps may also, in certain embodiments consist essentially of those elements and/or steps, and in other embodiments consist of those elements and/or steps, whether or not these embodiments are specifically referred to.

A reference to an element by the indefinite article “a” does not exclude the possibility that more than one of the elements is present, unless the context clearly requires that there be one and only one of the elements. The singular forms “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise. The use of the word “a” or “an” when used herein in conjunction with the term “comprising” may mean “one,” but it is also consistent with the meaning of “one or more,” “at least one” and “one or more than one.”

In this disclosure, the recitation of numerical ranges by endpoints includes all numbers subsumed within that range including all whole numbers, all integers and, where suitable, all fractional intermediates (e.g., 1 to 5 may include 1, 1.5, 2, 2.75, 3, 3.80, 4, and 5 etc.).

Unless otherwise specified, “certain embodiments”, “various embodiments”, “an embodiment” and similar terms includes the particular feature(s) described for that embodiment either alone or in combination with any other embodiment or embodiments described herein, whether or not the other embodiments are directly or indirectly referenced and regardless of whether the feature or embodiment is described in the context of a method, product, use, composition, compound, et cetera.

As used herein, the terms “treat”, “treatment”, “therapeutic” and the like includes ameliorating symptoms, reducing disease progression, improving prognosis and reducing recurrence.

As used herein, the term “diagnostic agent” includes an “imaging agent”. As such, a “diagnostic radiometal” includes radiometals that are suitable for use as imaging agents.

The term “subject” refers to an animal (e.g. a mammal or a non-mammal animal). The subject may be a human or a non-human primate. The subject may be a laboratory mammal (e.g., mouse, rat, rabbit, hamster and the like). The subject may be an agricultural animal (e.g., equine, ovine, bovine, porcine, camelid and the like) or a domestic animal (e.g., canine, feline and the like). In some embodiments, the subject is a human.

The compounds disclosed herein may also include base-free forms, salts or pharmaceutically acceptable salts thereof. Unless otherwise specified, the compounds claimed and described herein are meant to include all racemic mixtures and all individual enantiomers or combinations thereof, whether or not they are explicitly represented herein.

The compounds disclosed herein may be shown as having one or more charged groups, may be shown with ionizable groups in an uncharged (e.g. protonated) state or may be shown without specifying formal charges. As will be appreciated by the person of skill in the art, the ionization state of certain groups within a compound (e.g. without limitation, CO₂H, PO₃H₂, SO₂H, SO₃H, SO₄H, OPO₃H₂ and the like) is dependent, interalia, on the pKa of that group and the pH at that location. For example, but without limitation, a carboxylic acid group (i.e. COOH) would be understood to usually be deprotonated (and negatively charged) at neutral pH and at most physiological pH values, unless the protonated state is stabilized. Likewise, OSO₃H (i.e. SO₄H) groups, SO₂H groups, SO₃H groups, OPO₃H₂ (i.e. PO₄H₂) groups and PO₃H groups would generally be deprotonated (and negatively charged) at neutral and physiological pH values.

As used herein, the terms “salt” and “solvate” have their usual meaning in chemistry. As such, when the compound is a salt or solvate, it is associated with a suitable counter-ion. It is well known in the art how to prepare salts or to exchange counter-ions. Generally, such salts can be prepared by reacting free acid forms of these compounds with a stoichiometric amount of a suitable base (e.g. without limitation, Na, Ca, Mg, or K hydroxide, carbonate, bicarbonate, or the like), or by reacting free base forms of these compounds with a stoichiometric amount of a suitable acid. Such reactions are generally carried out in water or in an organic solvent, or in a mixture of the two. Counter-ions may be changed, for example, by ion-exchange techniques such as ion-exchange chromatography. All zwitterions, salts, solvates and counter-ions are intended, unless a particular form is specifically indicated.

In certain embodiments, the salt or counter-ion may be pharmaceutically acceptable, for administration to a subject. More generally, with respect to any pharmaceutical composition disclosed herein, non-limiting examples of suitable excipients include any suitable buffers, stabilizing agents, salts, antioxidants, complexing agents, tonicity agents, cryoprotectants, lyoprotectants, suspending agents, emulsifying agents, antimicrobial agents, preservatives, chelating agents, binding agents, surfactants, wetting agents, non-aqueous vehicles such as fixed oils, or polymers for sustained or controlled release. See, for example, Berge et al. 1977. (J. Pharm Sci. 66:1-19), or Remington—The Science and Practice of Pharmacy, 21st edition (Gennaro et al editors. Lippincott Williams & Wilkins Philadelphia), each of which is incorporated by reference in its entirety.

As used herein, the expression “Xy-Xz”, where y and z are integers (e.g. X₁-X₁₅, X₁-X₃₀, X₁-X₁₀₀, and the like), refers to the number of carbons (for alkyls, whether saturated or unsaturated, or aryls) in a compound, R-group or substituent, or refers to the number of carbons plus heteroatoms (for heteroalkyls, whether saturated or unsaturated, or heteroaryls) in a compound, R-group or substituent. Heteroatoms may include any, some or all possible heteroatoms. For example, in some embodiments, the heteroatoms are selected from N, O, S, P and Se. In some embodiments, the heteroatoms are selected from N, O, S and P. Such embodiments are non-limiting. Alkyls and aryls may alternatively be referred to using the expression “Cy-Cz”, where y and z are integers (e.g. C₃-C₁₅ and the like).

Unless explicitly stated otherwise, the terms “alkyl” and “heteroalkyl” each includes any reasonable combination of the following: (1) saturated alkyls as well as unsaturated (including partially unsaturated) alkyls (e.g. alkenyls and alkynyls); (2) linear or branched; (3) acyclic or cyclic (aromatic or nonaromatic), the latter of which may include multi-cyclic (fused rings, multiple non-fused rings or a combination thereof); and (4) unsubstituted or substituted. For example, an alkyl or heteroalkyl (i.e. “alkyl/heteroalkyl”) may be saturated, branched and cyclic, or unsaturated, branched and cyclic, or linear and unsaturated, or any other reasonable combination according to the skill of the person of skill in the art. If unspecified, the size of the alkyl/heteroalkyl is what would be considered reasonable to the person of skill in the art. For example, but without limitation, if unspecified, the size of an alkyl may be 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100 or more than 100 carbons in length, subject to the common general knowledge of the person of skill in the art. Further, but without limitation, if unspecified, the size of a heteroalkyl may be 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100 or more than 100 carbons and heteroatoms in length, subject to the common general knowledge of the person of skill in the art. In the context of the expression “alkyl, alkenyl or alkynyl” and similar expressions, the “alkyl” would be understood to be a saturated alkyl. Likewise, in the context of the expression “heteroalkyl, heteroalkenyl or heteroalkynyl” and similar expressions, the “heteroalkyl” would be understood to be a saturated heteroalkyl.

As used herein, in the context of an alkyl/heteroalkyl group of a compound, the term “linear” may be used as it is normally understood to a person of skill in the art and generally refers to a chemical entity that comprises a skeleton or main chain that does not split off into more than one contiguous chain. Non-limiting examples of linear alkyls include methyl, ethyl, n-propyl, and n-butyl.

As used herein, the term “branched” may be used as it is normally understood to a person of skill in the art and generally refers to a chemical entity that comprises a skeleton or main chain that splits off into more than one contiguous chain. The portions of the skeleton or main chain that split off in more than one direction may be linear, cyclic or any combination thereof. Non-limiting examples of a branched alkyl group include tert-butyl and isopropyl.

The term “alkylenyl” refers to a divalent analog of an alkyl group. In the context of the expression “alkylenyl, alkenylenyl or alkynylenyl”, “alkylenyl or alkenylenyl” and similar expressions, the “alkylenyl” would be understood to be a saturated alkylenyl. The term “heteroalkylenyl” refers to a divalent analog of a heteroalkyl group. In the context of the expression “heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl”, “heteroalkylenyl or heteroalkenylenyl” and similar expressions, the “heteroalkylenyl” would be understood to be a saturated heteroalkylenyl.

As used herein, the term “saturated” when referring to a chemical entity may be used as it is normally understood to a person of skill in the art and generally refers to a chemical entity that comprises only single bonds, and may include linear, branched, and/or cyclic groups. Non-limiting examples of a saturated C₁-C₂₀ alkyl group may include methyl, ethyl, n-propyl, i-propyl, sec-propyl, n-butyl, i-butyl, sec-butyl, t-butyl, n-pentyl, i-pentyl, sec-pentyl, t-pentyl, n-hexyl, i-hexyl, 1,2-dimethylpropyl, 2-ethylpropyl, 1-methyl-2-ethylpropyl, I-ethyl-2-methylpropyl, 1,1,2-trimethylpropyl, 1,1,2-triethylpropyl, 1,1-dimethylbutyl, 2,2-dimethylbutyl, 2-ethylbutyl, 1,3-dimethylbutyl, 2-methylpentyl, 3-methylpentyl, sec-hexyl, t-hexyl, n-heptyl, i-heptyl, sec-heptyl, t-heptyl, n-octyl, i-octyl, sec-octyl, t-octyl, n-nonyl, i-nonyl, sec-nonyl, t-nonyl, n-decyl, i-decyl, sec-decyl, t-decyl, cyclopropanyl, cyclobutanyl, cyclopentanyl, cyclohexanyl, cycloheptanyl, cyclooctanyl, cyclononanyl, cyclodecanyl, and the like. Unless otherwise specified, a C₁-C₂₀ alkylenyl therefore encompasses, without limitation, all divalent analogs of the above-listed saturated alkyl groups.

As used herein, the term “unsaturated” when referring to a chemical entity may be used as it is normally understood to a person of skill in the art and generally refers to a chemical entity that comprises at least one double or triple bond, and may include linear, branched, and/or cyclic groups. Non-limiting examples of a C₂-C₂₀ alkenyl group may include vinyl, allyl, isopropenyl, I-propene-2-yl, 1-butene-1-yl, 1-butene-2-yl, 1-butene-3-yl, 2-butene-1-yl, 2-butene-2-yl, octenyl, decenyl, cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclooctenyl, cyclononanenyl, cyclodecanenyl, and the like. Unless otherwise specified, a C₁-C₂₀ alkenylenyl therefore encompasses, without limitation, all divalent analogs of the above-listed alkenyl groups. Non-limiting examples of a C₂-C₂₀ alkynyl group may include ethynyl, propynyl, butynyl, pentynyl, hexynyl, heptynyl, octynyl, nonynyl, decynyl, and the like. Unless otherwise specified, a C₁-C₂₀ alkynylenyl therefore encompasses, without limitation, all divalent analogs of the above-listed alkynyl groups. Without limitation, the above-defined saturated C₁-C₂₀ alkyl groups, C₂-C₂₀ alkenyl groups and C₂-C₂₀ alkynyl groups are all encompassed within the term “X₁-X₂₀ alkyl”, unless otherwise indicated. Without limitation, the above-defined saturated C₁-C₂₀ alkylenyl groups, C₂-C₂₀ alkenylenyl groups and C₂-C₂₀ alkynylenyl groups are all encompassed within the term “X₁-X₂₀ alkylenyl”, unless otherwise indicated.

Without limitation, the term “X₁-X₂₀ heteroalkyl” would encompass each of the above-defined saturated C₁-C₂₀ alkyl groups, C₂-C₂₀ alkenyl groups and C₂-C₂₀ alkynyl groups, where one or more of the carbon atoms is independently replaced with a heteroatom. Likewise, without limitation, the term “X₁-X₂₀ heteroalkylenyl” would encompass each of the above-defined saturated C₁-C₂₀ alkylenyl groups, C₂-C₂₀ alkenylenyl groups and C₂-C₂₀ alkynylenyl groups, where one or more of the carbon atoms is independently replaced with a heteroatom. The person of skill in the art would understand that various combinations of different heteroatoms may be used. Non-limiting examples of non-aromatic heterocyclic groups include aziridinyl, azetidinyl, diazetidinyl, pyrrolidinyl, pyrrolinyl, piperidinyl, piperazinyl, imidazolinyl, pyrazolidinyl, imidazolydinyl, phthalimidyl, succinimidyl, oxiranyl, tetrahydropyranyl, oxetanyl, dioxanyl, thietanyl, thiepinyl, morpholinyl, oxathiolanyl, and the like.

Unless further specified, an “aryl” group includes both single aromatic rings as well as fused rings containing at least one aromatic ring. non-limiting examples of C₃-C₂₀ aryl groups include phenyl (Ph), pentalenyl, indenyl, naphthyl and azulenyl. Non-limiting examples of X₃-X₂₀ aromatic heterocyclic groups include pyrrolyl, imidazolyl, pyrazolyl, pyridinyl, pyridazinyl, pyrimidinyl, pirazinyl, quinolinyl, isoquinolinyl, acridinyl, indolyl, isoindolyl, indolizinyl, purinyl, carbazolyl, indazolyl, phthalazinyl, naphthyridinyl, quinoxalinyl, quinazolinyl, cinnolinyl, pteridinyl, phenanthridinyl, phenazinyl, phenanthrolinyl, perimidinyl, furyl, dibenzofuryl, xanthenyl, benzofuryl, thiophenyl, thianthrenyl, benzothiophenyl, phosphorinyl, phosphinolinyl, phosphindolyl, thiazolyl, oxazolyl, isoxazolyl, and the like.

As used herein, the term “substituted” is used as it would normally be understood to a person of skill in the art and generally refers to a compound or chemical entity that has one chemical group replaced with a different chemical group. Unless otherwise specified, a substituted alkyl is an alkyl in which one or more hydrogen atom(s) are independently each replaced with an atom that is not hydrogen. For example, chloromethyl is a non-limiting example of a substituted alkyl, more particularly an example of a substituted methyl. Aminoethyl is another non-limiting example of a substituted alkyl, more particularly an example of a substituted ethyl. Unless otherwise specified, a substituted compound or group (e.g. alkyl, heteroalkyl, aryl, heteroaryl and the like) may be substituted with any chemical group reasonable to the person of skill in the art. For example, but without limitation, a hydrogen bonded to a carbon or heteroatom (e.g. N) may be substituted with halide (e.g. F, I, Br, Cl), amine, amide, oxo, hydroxyl, thiol, phosphate, phosphonate, sulfate, SO₂H, SO₃H, alkyls, heteroalkyls, aryl, heteroaryl, ketones, carboxaldehyde, carboxylates, carboxamides, nitriles, monohalomethyl, dihalomethyl or trihalomethyl.

As used herein, the term “unsubstituted” is used as it would normally be understood to a person of skill in the art. Non-limiting examples of unsubstituted alkyls include methyl, ethyl, tert-butyl, pentyl and the like. The expression “optionally substituted” is used interchangeably with the expression “unsubstituted or substituted”.

In the structures provided herein, hydrogen may or may not be shown. In some embodiments, hydrogens (whether shown or implicit) may be protium (i.e. ¹H), deuterium (i.e. ²H) or combinations of ¹H and ²H. Methods for exchanging ¹H with ²H are well known in the art. For solvent-exchangeable hydrogens, the exchange of H with ²H occurs readily in the presence of a suitable deuterium source, without any catalyst. The use of acid, base or metal catalysts, coupled with conditions of increased temperature and pressure, can facilitate the exchange of non-exchangeable hydrogen atoms, generally resulting in the exchange of all ¹H to ²H in a molecule.

The term “Xaa” refers to an amino acid residue in a peptide chain or an amino acid that is otherwise part of a compound. Amino acids have both an amino group and a carboxylic acid group, either or both of which can be used for covalent attachment. In attaching to the remainder of the compound, the amino group and/or the carboxylic acid group may be converted to an amide or other structure; e.g. a carboxylic acid group of a first amino acid is converted to an amide (i.e. a peptide bond) when bonded to the amino group of a second amino acid. As such, Xaa may have the formula —N(R^(a))R^(b)C(O)—, where R^(a) and R^(b) are R-groups. R^(a) will typically be hydrogen or methyl. The amino acid residues of a peptide may comprise typical peptide (amide) bonds and may further comprise bonds between side chain functional groups and the side chain or main chain functional group of another amino acid. For example, the side chain carboxylate of one amino acid residue in the peptide (e.g. Asp, Glu, etc.) may be bonded to and the amine of another amino acid residue in the peptide (e.g. Dap, Dab, Orn, Lys). Further details are provided below. Unless otherwise indicated, “Xaa” may be any amino acid, including proteinogenic and nonproteinogenic amino acids. Non-limiting examples of nonproteinogenic amino acids are shown in Table 1 and include: D-amino acids (including without limitation any D-form of the following amino acids), ornithine (Orn), 3-(1-naphtyl)alanine (Nal), 3-(2-naphtyl)alanine (2-Nal), α-aminobutyric acid, norvaline, norleucine (Nle), homonorleucine, beta-(1,2,3-triazol-4-yl)-L-alanine, 1,2,4-triazole-3-alanine, Phe(4-F), Phe(4-Cl), Phe(4-Br), Phe(4-I), Phe(4-NH₂), Phe(4-NO₂), homoarginine (hArg), 2-amino-4-guanidinobutyric acid (Agb), 2-amino-3-guanidinopropionic acid (Agp), β-alanine, 4-aminobutyric acid, 5-aminovaleric acid, 6-aminohexanoic acid, 7-aminoheptanoic acid, 8-aminooctanoic acid, 9-aminononanoic acid, 10-aminodecanoic acid, 2-aminooctanoic acid, 2-amino-3-(anthracen-2-yl)propanoic acid, 2-amino-3-(anthracen-9-yl)propanoic acid, 2-amino-3-(pyren-1-yl)propanoic acid, Trp(5-Br), Trp(5-OCH₃), Trp(6-F), Trp(5-OH) orTrp(CHO), 2-aminoadipic acid (2-Aad), 3-aminoadipic acid (3-Aad), propargylglycine (Pra), homopropargylglycine (Hpg), beta-homopropargylglycine (Bpg), 2,3-diaminopropionic acid (Dap), 2,4-diaminobutyric acid (Dab), azidolysine (Lys(N₃)), azido-ornithine (Orn(N₃)), 2-amino-4-azidobutanoic acid Dab(N₃), Dap(N₃), 2-(5′-azidopentyl)alanine, 2-(6′-azidohexyl)alanine, 4-amino-1-carboxymethyl-piperidine (Pip), 4-(2-aminoethyl)-1-carboxymethyl-piperazine (Acp), and tranexamic acid. If not specified as an L- or D-amino acid, an amino acid shall be understood to encompass both L- and D-amino acids.

TABLE 1 List of non-limiting examples of non-proteinogenic amino acids. Any D-amino acid of a proteinogenic amino acid ornithine (Orn) 3-(1-naphtyl)alanine (Nal) 3-(2-naphtyl)alanine (2-Nal) α-aminobutyric acid norvaline norleucine (Nle) homonorleucine beta-(1,2,3-triazol-4-yl)-L-alanine 1,2,4-triazole-3-alanine Phe(4-F), Phe(2-F), Phe(3-F), Phe(4-Cl), Phe(2-Cl), Phe(3-Cl), Phe(4-Br), Phe(2-Br), Phe(3-Br), Phe(4-I), Phe(2-I), Phe(2-I), Phe(4-NH₂), Phe(2-NH₂), Phe(3-NH₂), Phe(4-NO₂), Phe(2-NO₂), Phe(2-NO₂), homoarginine (hArg) 4-(2-aminoethyl)-1-carboxymethyl-piperazine (Acp) 2-(5′-azidopentyl)alanine, 2-(6′-azidohexyl)alanine 2-amino-4-guanidinobutyric acid (Agb) 2-amino-3-guanidinopropionic acid (Agp) β-alanine 4-aminobutyric acid 5-aminovaleric acid 6-aminohexanoic acid 7-aminoheptanoic acid 8-aminooctanoic acid 9-aminononanoic acid 10-aminodecanoic acid 2-aminooctanoic acid 2-amino-3-(anthracen-2-yl)propanoic acid 2-amino-3-(anthracen-9-yl)propanoic acid 2-amino-3-(pyren-1-yl)propanoic acid Trp(5-Br), Trp(5-OCH₃), Trp(6-F), Trp(5-OH) Trp(CHO), 2-aminoadipic acid (2-Aad) 3-aminoadipic acid (3-Aad) propargylglycine (Pra) homopropargylglycine (Hpg) beta-homopropargylglycine (Bpg) 2,3-diaminopropionic acid (Dap) 2,4-diaminobutyric acid (Dab) azidolysine (Lys(N₃)) azido-ornithine (Orn(N₃)) amino-4-azidobutanoic acid Dab(N₃) tranexamic acid 4-amino-1-carboxymethyl-piperidine (Pip) NH₂(CH₂)₂O(CH₂)₂C(O)OH NH₂(CH₂)₂[O(CH₂)₂]₂C(O)OH NH₂(CH₂)₂[O(CH₂)₂]₃C(O)OH NH₂(CH₂)₂[O(CH₂)₂]₄C(O)OH NH₂(CH₂)₂[O(CH₂)₂]₅C(O)OH NH₂(CH₂)₂[O(CH₂)₂]₆C(O)OH

The wavy line “

” symbol shown through or at the end of a bond in a chemical formula (e.g. in the definitions R⁴, R⁶, R⁷, R⁹ and R¹¹ of Formula I etc.) is intended to define the R group on one side of the wavy line, without modifying the definition of the structure on the opposite side of the wavy line. Where an R group is bonded on two or more sides (e.g. R¹¹), any atoms shown outside the wavy lines are intended to clarify orientation of the R group. As such, only the atoms between the two wavy lines constitute the definition of the R group. When atoms are not shown outside the wavy lines, or for a chemical group shown without wavy lines but does have bonds on multiple sides (e.g. —C(O)NH—, and the like.), the chemical group should be read from left to right matching the orientation in the formula that the group relates to (e.g. for formula —R^(a)—R^(b)—R^(c)—, the definition of R^(b) as —C(O)NH— would be incorporated into the formula as —R^(a)—C(O)NH—R^(c)— not as —R^(a)—NHC(O)—R^(c)—).

In various aspects, there is disclosed a compound of Formula I (as defined below), Formula II (as defined below), Formula IV (as defined below), or Formula V (as defined below), or a compound that comprises a PSMA-targeting moiety of Formula III (as defined below), including salts or solvates of the foregoing.

The following definitions apply to Formula I compounds (and salts/solvates thereof).

In some embodiments, the compound is of Formula I or is a salt or solvate of Formula I:

wherein: n is 0 or 1; each of R^(1a), R^(1b) and R^(1c) is independently —CO₂H, —SO₂H, —SO₃H, —SO₄H, —PO₂H, —PO₃H or —PO₄H; when n is 0, R² is —CH₂—, —CHOH—, —CHF—, —CH₂CHOH—, —CH₂CHF—, —CH₂CHOHCH₂—, —CH₂CHFCH₂—, —(CH₂)₂CHOH—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂— or —CH₂SCH₂—; when n is 1, R² is —CH₂—, —CHOH—, —CHF—, —CH₂CHOH—, —CH₂CHF— or —(CH₂)₂—; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl;

R⁴ is —O—, —S—, —NHC(O)—, —C(O)NH—,

R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; R⁶ is hydrogen or methyl; Xaa¹ is an amino acid of formula —N(R³)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; at least one R⁹ or R⁵ is

at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl, or R¹⁰ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only 1-3 heteroatoms; R⁷ is R^(X)-(Xaa²)₀₋₄-,

R¹¹ is absent,

R¹² is I, Br, F, Cl, H, OH, OCH₃, NH₂, NO₂ or CH₃; Xaa², when present, is —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a radiometal; an aryl substituted with a radioisotope; a prosthetic group containing a trifluoroborate; and a prosthetic group containing a silicon-fluorine-acceptor moiety.

In some embodiments, the compound of is a salt or solvate of Formula I.

In some embodiments, the compound of Formula I is a compound of Formula Ia:

wherein R^(1a), R^(1b), R^(1c), R², R³, R⁴, R⁵, R⁶, Xaa¹ and R⁷ are as defined for Formula I. In some embodiments, the compound is a salt or solvate of Formula Ia.

In some embodiments, n is 0. In some embodiments, n is 1.

In some embodiments, R^(1a) is —CO₂H. In some embodiments, R^(1b) is —CO₂H. In some embodiments, R^(1c) is —CO₂H. In some embodiments, R^(1a) and R^(1b) are each —CO₂H. In some embodiments, R^(1a) and R^(1c) are each —CO₂H. In some embodiments, R^(1b) and R^(1c) are each —CO₂H. In some embodiments, R^(1a), R^(1b) and R^(1c) are each —CO₂H.

In some embodiments, R² is —CH₂OCH₂— or —CH₂SCH₂—.

In some embodiments, n is 0 and R² is —CH₂—. In some embodiments, n is 0 and R²—CHOH—. In some embodiments, n is 0 and R² is —CHF—. In some embodiments, n is 0 and R² is —CH₂CHOH—. In some embodiments, n is 0 and R² is —CH₂CHF—. In some embodiments, n is 0 and R² is —CH₂CHOHCH₂—. In some embodiments, n is 0 and R² is —CH₂CHFCH₂—. In some embodiments, n is 0 and R² is —(CH₂)₂CHOH—. In some embodiments, n is 0 and R² is —(CH₂)₂CHF—. In some embodiments, n is 0 and R² is —(CH₂)₃—. In some embodiments, n is 0 and R² is —CH₂OCH₂—. In some embodiments, n is 0 and R² is —CH₂SCH₂—.

In some embodiments, n is 1 and R² is —CH₂—. In some embodiments, n is 1 and R² is —CHOH—. In some embodiments, n is 1 and R² is —CHF—. In some embodiments, n is 1 and R² is —CH₂CHOH—. In some embodiments, n is 1 and R² is —CH₂CHF—. In some embodiments, n is 1 and R² is —(CH₂)₂—.

In some embodiments, n is 0, R^(1a) is —CO₂H and R² is —(CH₂)₃—. In some embodiments, n is 0, R^(1a) is —CO₂H and R² is —CH₂—. In some embodiments, n is 0, R^(1a) is —CO₂H, R^(1b) is —CO₂H, R¹⁰ is —CO₂H, and R² is —(CH₂)₃—. In some embodiments, n is 0, R^(1a) is —CO₂H and R² is —CH₂—.

In some embodiments, R³ is a linear acyclic C₃-C₁₅ alkylenyl. In some embodiments, R³ is a linear acyclic C₃-C₁₅ heteroalkylenyl having 1-5 N, S and/or O heteroatoms. In some embodiments, R³ is a linear acyclic saturated C₃-C₁₀ alkylenyl, optionally substituted with 1-5 amine, amide, oxo, hydroxyl, thiol, methyl or ethyl groups. In some embodiments, R³ is —(CH₂)₃₋₁₅—. In some embodiments, R³ is —CH₂—. In some embodiments, R³ is —(CH₂)₂—. In some embodiments, R³ is —(CH₂)₃—. In some embodiments, R³ is —(CH₂)₄—. In some embodiments, R³ is —(CH₂)₅—. In some embodiments, R³ is —CH₂—O—CH₂—. In some embodiments, R³ is —CH₂—S—CH₂—.

In some embodiments, R⁴ is —O—. In some embodiments, R⁴ is —S—. In some embodiments, R⁴ is —NHC(O)—. In some embodiments, R⁴ is —C(O)NH—. In some embodiments, R⁴ is

In some embodiments, R⁴ is

In some embodiments, R³ is —(CH₂)₃₋₁₅— and R⁴ is —C(O)NH—. In some embodiments, R³ is —(CH₂)₃₋₅— and R⁴ is —C(O)NH—. In some embodiments, R³ is —(CH₂)₄— and R⁴ is —C(O)NH—.

In some embodiments, R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—. In some embodiments, R⁵ is —CH(R¹⁰)—. In some embodiments, R⁵ is —CH₂CH(R¹⁰)—. In some embodiments, R⁵ is —CH(R¹⁰)CH₂—. In some embodiments, R⁵ is —CH(R¹⁰)—.

In some embodiments, R¹⁰ is an alkenyl containing either a C₆-C₁₆ aryl or X₆-X₁₆ heteroaryl having 1-3 heteroatoms independently selected from N, S and/or O. In some embodiments, the C₆-C₁₆ aryl is benzyl. In some embodiments, the X₆-X₁₆ heteroaryl is benzyloxyl or benzylthio. In some embodiments, R¹⁰ is:

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is:

In some embodiments, R¹⁰ is

In some embodiments, R⁵ is —CH(R¹⁰)— wherein R¹⁰ is as defined in any embodiment above.

In some embodiments, R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃— and R¹⁰ is —(CH₂)₅CH₃. In some embodiments, R⁵ is —CH(R¹⁰)— and R¹⁰ is —(CH₂)₅CH₃.

In some embodiments, R⁵ is

In some embodiments, R⁵ is

In some embodiments, R⁶ is hydrogen. In some embodiments, R⁶ is methyl.

In some embodiments, (Xaa¹)₁₋₄ consists of a single amino acid residue. In some embodiments, (Xaa¹)₁₋₄ is a dipeptide, wherein each Xaa¹ may be the same or different. In some embodiments, (Xaa¹)₁₋₄ is a tripeptide, wherein each Xaa¹ may be the same, different or a combination thereof. In some embodiments, (Xaa¹)₁₋₄ consists of 4 amino acid residues connected by peptide bonds, wherein each Xaa¹ may be the same, different or a combination thereof. In some embodiments, each Xaa¹ is independently selected from proteinogenic amino acids and the non-proteinogenic amino acids listed in Table 1, wherein each peptide backbone amino group is optionally methylated. In some embodiments, at least one R⁹ is

In some embodiments, at least one R⁹ is

In some embodiments, at least one R⁸ is hydrogen. In some embodiments, all R⁸ are hydrogen. In some embodiments, at least one Xaa¹ is a tranexamic acid residue. In some embodiments, (Xaa¹)₁₋₄ consists of a single tranexamic acid residue.

In some embodiments, R³ is —(CH₂)₄— and -(Xaa¹)₁₋₄N(R⁶)R⁵R⁴— is

In some embodiments, R³ is —(CH₂)₄— and -(Xaa¹)₁₋₄N(R⁶)R⁵R⁴— is

The following definitions apply to Formula II compounds (and salts/solvates thereof).

In some embodiments, the compound is a compound of Formula II or is a salt or a solvate of Formula II:

wherein:

R⁰ is O or S;

R¹a is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —OPO₃H₂, —OSO₃H, —B(OH)₂, or

R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or N

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl, or alkynylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl, or heteroalkynylenyl; R⁴ is —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)—(NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, —C(O)—NH—NH; R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; R⁶ is hydrogen or methyl or ethyl; Xaa¹ is an amino acid of formula —N(R³)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰ is:

-   -   a linear or branched, cyclic or acyclic, and/or aromatic or         non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or         branched, cyclic or acyclic, and/or aromatic or non-aromatic         X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only         1-3 heteroatoms;     -   —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₆         aromatic ring or partially or fully aromatic fused ring system,         wherein 0-3 carbons in the aromatic ring or the partially or         fully aromatic fused ring system are replaced with N, S and/or O         heteroatoms, and wherein the optional substitutions are selected         from OH, NH₂, NO₂, halogen, C₁-C₆ alkyl, and/or C₁-C₆ alkoxyl         groups; or     -   selected from:

-   -   -   optionally modified with one, more than one, or a             combination of: halogen, OMe, SMe, NH₂, NO₂, CN, OH, or one             or more additional endocyclic ring nitrogen atoms;             R⁷ is R^(X)-(Xaa²)₀₋₄-,

R²⁸ is an albumin binder; Xaa² and Xaa³, when present, are independently —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a radiometal; an aryl or heteroaryl substituted with a radiohalogen; a prosthetic group containing a trifluoroborate; a prosthetic group containing a silicon-fluorine-acceptor moiety; or a prosthetic group containing a fluorophosphate, fluorosulfate, sulfonylfluoride, or a combination thereof.

In some embodiments, the compound of Formula II is a compound of Formula IIa:

wherein R^(1a), R^(1b), R^(1c), R², R³, R⁴, R⁵, R⁶, Xaa¹ and R⁷ are as defined for Formula II. In some embodiments, the compound is a salt or solvate of Formula IIa.

In some embodiments, R² is —CH₂—. In some embodiments, R² is —CH(OH)—. In some embodiments, R² is —CHF—. In some embodiments, R² is —CF₂—. In some embodiments, R² is —CH(CH₃)—. In some embodiments, R² is —C(CH₃)₂—.

In some embodiments, R² is —CH₂CH(OH)—. In some embodiments, R² is —CH₂CHF—. In some embodiments, R² is —CHFCH₂—. In some embodiments, R² is —CF₂CH₂—. In some embodiments, R² is —CH₂CF₂—. In some embodiments, R² is —CH(OH)CH₂—. In some embodiments, R² is —CH(CH₃)CH₂—. In some embodiments, R² is —CH₂CH(CH₃)—. In some embodiments, R² is —C(CH₃)₂CH₂—. In some embodiments, R² is —CH₂C(CH₃)₂—.

In some embodiments, R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂—O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—.

In some embodiments, R² is —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, —C(O)—NH—C(CH₃)₂—, —CH₂CH(COOH)CH₂—, or —CH₂CH₂CH(COOH)—. In some embodiments, R² is —CH₂OCH₂— or —CH₂SCH₂—.

In some embodiments, R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CHFCH₂—, —CF₂CH₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —C(CH₃)₂CH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—.

In some embodiments, R² is —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—.

In some embodiments, R² is —CH₂CH(OH)—, —CH₂CHF—, —CH₂CH(CH₃)—, —CH₂CH(COOH)—, —CH₂CH(OH)CH₂—, —CH₂CH(F)CH₂—, or —CH₂CH(CH₃)CH₂—, wherein the second carbon in R² has R-configuration. In some embodiments, R² is —CH₂CH(OH)—, —CH₂CHF—, or —CH₂CH(CH₃)—, wherein the second carbon in R² has R-configuration. In some embodiments, R² is —CH₂CHF—, wherein the second carbon in R² has R-configuration.

In some embodiments, R² is —CH₂CH(OH)CH₂—. In some embodiments, R² is —CH₂CHFCH₂—. In some embodiments, R² is —(CH₂)₂CH(OH)—. In some embodiments, R² is —(CH₂)₂CHF—. In some embodiments, R² is —(CH₂)₃—. In some embodiments, R² is —CH₂OCH₂—. In some embodiments, R² is —CH₂SCH₂—. In some embodiments, R² is —CHFCH₂CH₂—. In some embodiments, R² is —CH(OH)CH₂CH₂—. In some embodiments, R² is —CH(CH₃)CH₂CH₂—. In some embodiments, R² is —CH₂CH(CH₃)CH₂—. In some embodiments, R² is —CH₂CH₂CH(CH₃)—. In some embodiments, R² is —C(CH₃)₂CH₂CH₂—. In some embodiments, R² is —CH₂C(CH₃)₂CH₂—. In some embodiments, R² is —CH₂CH₂C(CH₃)₂—. In some embodiments, R² is —CH(CH₃)—O—CH₂—. In some embodiments, R² is —C(CH₃)₂O—CH₂—. In some embodiments, R² is —CH₂—O—CH(CH₃)—. In some embodiments, R² is —CH₂—O—C(CH₃)₂—. In some embodiments, R² is —CH₂—S(O)—CH₂—. In some embodiments, R² is —CH₂—S(O)₂—CH₂—. In some embodiments, R² is —CH(CH₃)—S—CH₂—. In some embodiments, R² is —C(CH₃)₂—S—CH₂—. In some embodiments, R² is —CH₂—S—CH(CH₃)—. In some embodiments, R² is —CH₂—S—C(CH₃)₂—. In some embodiments, R² is —CH(CH₃)—S(O)—CH₂—. In some embodiments, R² is —C(CH₃)₂—S(O)—CH₂—. In some embodiments, R² is —CH₂—S(O)—CH(CH₃)—. In some embodiments, R² is —CH₂—S(O)—C(CH₃)₂—. In some embodiments, R² is —CH(CH₃)—S(O)₂—CH₂—. In some embodiments, R² is —C(CH₃)₂—S(O)₂—CH₂—. In some embodiments, R² is —CH₂—S(O)₂—CH(CH₃)—. In some embodiments, R² is —CH₂—S(O)₂—C(CH₃)₂—. In some embodiments, R² is —CH₂—NH—C(O)—. In some embodiments, R² is —C(O)—NH—CH₂—. In some embodiments, R² is —C(O)—NH—CH(CH₃)—. In some embodiments, R² is —C(O)—NH—C(CH₃)₂—.

The following definitions apply to Formula III.

In some embodiments, the compound is a compound comprising a prostate specific membrane antigen (PSMA)-targeting moiety of Formula III or of a salt or a solvate of Formula III:

wherein:

R⁰ is O or S;

R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —OPO₃H₂, —OSO₃H, —B(OH)₂, or

R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—; and R³ is a linker.

In some embodiments, the PSMA-targeting moiety of Formula III is a PSMA-targeting moiety of Formula IIIa:

wherein R^(1a), R^(1b), R^(1c), R², and R³ are as defined for Formula III. In some embodiments, the PSMA-targeting moiety is a salt or solvate of Formula IIIa.

The linker (R³) may be any linker. In some embodiments, R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl, or alkynylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl, or heteroalkynylenyl. In some embodiments, R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl. In some embodiments, R³ is a linear or branched peptide linker.

In some embodiments, R² is —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂—O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, or —CH₂—S(O)₂—C(CH₃)₂.

In some embodiments, R² is —CH(CH₃)CH₂CH₂—. In some embodiments, R² is —CH₂CH(CH₃)CH₂—. In some embodiments, R² is —CH₂CH₂CH(CH₃)—. In some embodiments, R² is —C(CH₃)₂CH₂CH₂—. In some embodiments, R² is —CH₂C(CH₃)₂CH₂—. In some embodiments, R² is —CH₂CH₂C(CH₃)₂—. In some embodiments, R² is —CH(CH₃)—O—CH₂—. In some embodiments, R² is —C(CH₃)₂—O—CH₂—. In some embodiments, R² is —CH₂—O—CH(CH₃)—. In some embodiments, R² is —CH₂—O—C(CH₃)₂—. In some embodiments, R² is —CH₂—S(O)—CH₂—. In some embodiments, R² is —CH₂—S(O)₂—CH₂—. In some embodiments, R² is —CH(CH₃)—S—CH₂—. In some embodiments, R² is —C(CH₃)₂—S—CH₂—. In some embodiments, R² is —CH₂—S—CH(CH₃)—. In some embodiments, R² is —CH₂—S—C(CH₃)₂—. In some embodiments, R² is —CH(CH₃)—S(O)—CH₂—. In some embodiments, R² is —C(CH₃)₂—S(O)—CH₂—. In some embodiments, R² is —CH₂—S(O)—CH(CH₃)—. In some embodiments, R² is —CH₂—S(O)—C(CH₃)₂—. In some embodiments, R² is —CH(CH₃)—S(O)₂—CH₂—. In some embodiments, R² is —C(CH₃)₂—S(O)₂—CH₂—. In some embodiments, R² is —CH₂—S(O)₂—CH(CH₃)—. In some embodiments, R² is —CH₂—S(O)₂—C(CH₃)₂—. In some embodiments, R² is —C(O)—NH—CH₂—. In some embodiments, R² is —C(O)—NH—CH(CH₃)—. In some embodiments, R² is —C(O)—NH—C(CH₃)₂—.

In some embodiments, R² is —CH₂CH(CH₃)CH₂—, wherein the second carbon in R² has R-configuration.

In some embodiments, the compound further comprises one or more radiolabeling groups connected to the linker, independently selected from: a radiometal chelator optionally bound by a radiometal; an aryl or heteroaryl substituted with a radiohalogen; a prosthetic group containing a trifluoroborate; or a prosthetic group containing a silicon-fluorine-acceptor moiety, a fluorophosphate, a fluorosulfate, or a sulfonylfluoride. In some embodiments, the compound comprises a radiometal chelator. In some embodiments, the radiometal chelator is bound by a radiometal. In some embodiments, the compound comprises an aryl substituted with a radiohalogen. In some embodiments, the compound comprises a prosthetic group containing a trifluoroborate. In some embodiments, the compound comprises a prosthetic group containing a silicon-fluorine-acceptor moiety. In some embodiments, the compound comprises a prosthetic group containing a fluorophosphate. In some embodiments, the compound comprises a prosthetic group containing a fluorosulfate. In some embodiments, the compound comprises a prosthetic group containing a sulfonylfluoride. In some embodiments, a fluorine in the aforementioned groups is ¹⁸F.

In some embodiments, the one or more radiolabeling groups comprise: a radiometal chelator optionally bound by a radiometal; and a prosthetic group containing a trifluoroborate, optionally wherein 1, 2 or 3 fluorines in the trifluoroborate are ¹⁸F.

In some embodiments, the compound comprising a PSMA-targeting moiety of Formula III is a compound of Formula II (or Formula IIa) or is a salt or solvate of Formula II (or Formula IIa), wherein R² is —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, or —C(O)—NH—C(CH₃)₂—.

Unless otherwise specified, the following definitions apply to any of Formula II/IIa compounds (or salts/solvates thereof) as well as any compounds comprising a PSMA-targeting moiety of Formula III/IIIa (or a salts/solvates thereof). The following definitions therefore apply to compounds comprising Formula III/IIIa PSMA-targeting moieties, including but not necessarily limited to when such compounds are Formula II/IIa compounds.

In some embodiments, R⁰ is O. In other embodiments, R⁰ is S.

In some embodiments, R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —OPO₃H₂, or —OSO₃H. In some embodiments, R^(2a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, or —PO₃H₂. In some embodiments, R^(3a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, or —PO₃H₂. In some embodiments, R^(1a) is —CO₂H. In some embodiments, R^(1b) is —CO₂H. In some embodiments, R^(1c) is —CO₂H. In some embodiments, R^(1a) and R^(1b) are each —CO₂H. In some embodiments, R^(1a) and R^(1c) are each —CO₂H. In some embodiments, R^(1b) and R^(1c) are each —CO₂H. In some embodiments, R^(1a), R^(1b) and R^(1c) are each —CO₂H. In some embodiments, R^(1a), R^(1b) and R^(1c) are anionic or metallated salts of the foregoing.

In some embodiments, R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl.

In some embodiments, R³ is a linear acyclic C₃-C₁₅ alkylenyl. In some embodiments, R³ is a linear acyclic C₃-C₁₅ alkylenyl in which 1-5 carbons are replaced with N, S and/or O heteroatoms. In some embodiments, R³ is a linear acyclic saturated C₃-C₁₀ alkylenyl, optionally substituted with 1-5 amine, amide, oxo, hydroxyl, thiol, methyl or ethyl groups. In some embodiments, R³ is —(CH₂)₃₋₁₅—. In some embodiments, R³ is —CH₂—. In some embodiments, R³ is —(CH₂)₂—. In some embodiments, R³ is —(CH₂)₃—. In some embodiments, R³ is —(CH₂)₄—. In some embodiments, R³ is —(CH₂)₅—. In some embodiments, R³ is —CH₂—O—CH₂—. In some embodiments, R³ is —CH₂—S—CH₂—. In some embodiments, R³ is —CH═CH—. In some embodiments, R³ is —CH₂—C≡C—. In some embodiments, R³ is a linear C₃-C₅ alkenylenyl and/or alkynylenyl.

In some embodiments, R⁴ is —O—. In some embodiments, R⁴ is —S—. In some embodiments, R⁴ is —NHC(O)—. In some embodiments, R⁴ is —C(O)NH—. In some embodiments, R⁴ is

In some embodiments, R⁴ is

In some embodiments, R⁴ is —S(O)—. In some embodiments, R⁴ is —S(O)₂—. In some embodiments, R⁴ is —C(O)—(NH)₂—C(O)—. In some embodiments, R⁴ is —OC(O)NH—. In some embodiments, R⁴ is —NHC(O)C—. In some embodiments, R⁴ is —NHC(O)NH—. In some embodiments, R⁴ is —OC(S)NH. In some embodiments, R⁴ is —NHC(S)O—. In some embodiments, R⁴ is —NHC(S)NH—. In some embodiments, R⁴ is —NHC(O)C(O)NH—. In some embodiments, R⁴ is —S—S—. In some embodiments, R⁴ is —S—CH₂—S—. In some embodiments, R⁴ is —NH—NH—C(O)—. In some embodiments, R⁴ is or —C(O)—NH—NH—.

In some embodiments, R³ is —(CH₂)₃₋₁₅— and R⁴ is —C(O)NH—. In some embodiments, R³ is —(CH₂)₃₋₅— and R⁴ is —C(O)NH—. In some embodiments, R³ is —(CH₂)₄— and R⁴ is —C(O)NH—.

In some embodiments, R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—. In some embodiments, R⁵ is —CH(R¹⁰)—. In some embodiments, R⁵ is —CH₂CH(R¹⁰)—. In some embodiments, R⁵ is —CH(R¹⁰)CH₂—. In some embodiments, R⁵ is —CH(R¹⁰)—.

In some embodiments, R¹⁰ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only 1-3 heteroatoms.

In some embodiments, R¹⁰ is —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₅ aromatic ring or partially or fully aromatic fused ring system, wherein 0-3 carbons in the aromatic ring or the partially or fully aromatic fused ring system are replaced with N, S and/or O heteroatoms, and wherein the optional substitutions are selected from OH, NH₂, NO₂, halogen, C₁—C alkyl, and/or C₁—C alkoxyl groups.

In some embodiments, R¹⁰ is

optionally modified with one, more than one, or a combination of: halogen, OMe, SMe, NH₂, NO₂, CN, OH, or one or more additional endocyclic ring nitrogen atoms.

In some embodiments, R¹⁰ is an alkenyl containing either a C₆-C₁₆ aryl or X₆-X₁₆ heteroaryl having 1-3 heteroatoms independently selected from N, S and/or O. In some embodiments, the C₆-C₁₆ aryl is benzyl. In some embodiments, the X₆-X₁₆ heteroaryl is benzyloxyl or benzylthio.

In some embodiments, R¹⁰ is:

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is. In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R¹⁰ is

In some embodiments, R⁵ is —CH(R¹⁰)— wherein R¹⁰ is as defined in any embodiment above.

In some embodiments, R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃— and R¹⁰ is —(CH₂)₅CH₃. In some embodiments, R⁵ is —CH(R¹⁰)— and R¹⁰ is —(CH₂)₅CH₃. In some embodiments, R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—.

In some embodiments, R¹⁰ is —CH²—R²³. In some embodiments, R²³ is phenyl substituted with 1 or 2 iodo groups and optionally further substituted with 1 oxy group. In some embodiments, R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃— wherein R¹⁰ is —CH₂R²³ and R²³ is phenyl substituted with 1 or 2 iodo groups and optionally further substituted with 1 oxy group. In some embodiments, R²³ is

In some embodiments, R²³ is

In some embodiments, R²³ is

In some embodiments, R²³ is

In some embodiments, R²³ is

In some embodiments, R²³ is

In some embodiments, R²³ is

In some embodiments, R²³ is

In some embodiments, at least one R⁹ or R⁵ is

In some embodiments, at least one R⁹ or R⁵ is

In some embodiments, at least one R⁹ or R⁵ is

In some embodiments, R⁵ is

In some embodiments, R⁵ is

In some embodiments, R⁵ is

In some embodiments, R⁶ is hydrogen. In some embodiments, R⁶ is methyl. In some embodiments, R⁶ is ethyl.

In some embodiments, (Xaa¹)₁₋₄ consists of a single amino acid residue. In some embodiments, (Xaa¹)₁₋₄ is a dipeptide, wherein each Xaa¹ may be the same or different. In some embodiments, (Xaa¹)₁₋₄ is a tripeptide, wherein each Xaa¹ may be the same, different or a combination thereof. In some embodiments, (Xaa¹)₁₋₄ consists of 4 amino acid residues connected by peptide bonds, wherein each Xaa¹ may be the same, different or a combination thereof. In some embodiments, each Xaa¹ is independently selected from proteinogenic amino acids and the non-proteinogenic amino acids listed in Table 1, wherein each peptide backbone amino group is optionally methylated.

In some embodiments, at least one R⁹ is R²⁴—R²⁵—R²⁶, wherein R²⁴—R²⁵—R²⁶ are independently selected from: —(CH₂)₀₋₃—; C₃-C₈ cycloalkylene in which 0-3 carbons are replaced with N, S or O heteroatoms, and optionally substituted with one or more OH, NH₂, NO₂, halogen, C₁-C₆ alkyl and/or C₁-C₆ alkoxyl groups; and C₄-C₁₆ arylene in which 0-3 carbons are replaced with N, S or O heteroatoms, and optionally substituted with one or more OH, NH₂, NO₂, halogen, C₁-C₆ alkyl and/or C₁-C₆ alkoxyl groups. In some embodiments, (Xaa¹)₁₋₄ is (Xaa¹)₀₋₃NHR²⁷C(O), wherein R²⁷ is

In some embodiments, at least one R⁹ is

In some embodiments, at least one R⁹ is

In some embodiments, at least one R⁹ is

In some embodiments, at least one R⁸ is hydrogen. In some embodiments, all R⁸ are hydrogen. In some embodiments, at least one Xaa¹ is a tranexamic acid residue. In some embodiments, (Xaa¹)₁₋₄ consists of a single tranexamic acid residue.

In some embodiments, R³ is —(CH₂)₄— and -(Xaa¹)₁₋₄N(R⁶)R⁵R⁴— is

wherein, in alternative embodiments, R¹⁰ is any R¹⁰ defined above. In some such embodiments, R¹⁰ is —CH²—R²³ and R²³ is phenyl substituted with 1 or 2 iodo groups and optionally further substituted with 1 oxy group.

In some embodiments, R³ is —(CH₂)₄— and -(Xaa¹)₁₋₄N(R⁶)R⁵R⁴— is

wherein, in alternative embodiments, R¹⁰ is any R¹⁰ defined above. In some such embodiments, R¹⁰ is —CH²—R²³ and R²³ is phenyl substituted with 1 or 2 iodo groups and optionally further substituted with 1 oxy group.

Unless otherwise specified, the following definitions apply to any of applicable Formula I/Ia compounds (or salt/solvates thereof), all Formula II/IIa compounds (or salts/solvates thereof) as well as compounds comprising a PSMA-targeting moiety of Formula III/IIIa (or a salts/solvates thereof). The following definitions therefore apply to compounds comprising Formula III/IIIa PSMA-targeting moieties, including but not necessarily limited to when such compounds are Formula II/IIa compounds.

R⁷ may include a radiolabeling group optionally spaced apart using an amino acid or peptide linker. Accordingly, in some embodiments R⁷ is R^(X)-(Xaa²)₀₋₄-, wherein R^(X) bonds to the N-terminus of the N-terminal Xaa² or an amino acid group of Xaa² capable of forming an amide bond (e.g. a side chain of an alpha amino acid). An example of a Xaa² sidechain capable of forming an amide bond with R^(X) is an amino group. Non-limiting examples of amino acid residues capable of forming an amide with R^(X) include Lys, Orn, Dab, Dap, Arg, homo-Arg, and the like. In some embodiments, R^(X) bonds to the N-terminus of the N-terminal Xaa². In other embodiments, Xaa² is absent.

In some embodiments, R⁷ may include two radiolabeling groups in which the amino acid or peptide linker provides two attachment points for the radiolabeling groups. Accordingly, in some embodiments, R⁷ is

For example, a first R^(X) may bond to the N-terminus of the N-terminal Xaa² and a second R^(X) may bond to a side chain functional group (e.g. an amino group) of a Xaa². Alternatively, both R^(X) groups may bond to different Xaa² side chains or other functional groups.

R⁷ may include both a radiolabeling group and an albumin-binding group.

Accordingly, in some embodiments with a single R^(X) group, R⁷ is

wherein when (Xaa²)₀₋₄ is (Xaa²)₁₋₄ then R^(X) bonds to the N-terminus of the N-terminal Xaa² or an amino group of Xaa² (e.g. a side chain of an alpha amino acid) capable of forming an amide bond, and wherein when (Xaa³)₀₋₄ is (Xaa³)₁₋₄ then (Xaa³)₁₋₄ is oriented to form amide bonds with the adjacent carbonyl and amine groups. In other embodiments with a single R^(X) group, R⁷ is

wherein when (Xaa²)₀₋₄ is (Xaa²)₁₋₄ then R^(X) bonds to the N-terminus of the N-terminal Xaa² or an amino group of Xaa² (e.g. a side chain of an alpha amino acid) capable of forming an amide bond, and wherein when (Xaa³)₀₋₄ is (Xaa³)₁₋₄ then (Xaa³)₁₋₄ is oriented to form amide bonds with the adjacent carbonyl and amine groups.

The albumin binding group R²⁸ may be any albumin binding group.

In some embodiments, the albumin binding group R²⁸ is

In some embodiments, the albumin binding group R²⁸ is

In some embodiments, the albumin binding group R²⁸ is

wherein R¹² is I, Br, F, Cl, H, OH, OCH₃, NH₂, NO₂ or CH₃.

In some embodiments, R⁷ is

wherein when (Xaa²)₀₋₄ is (Xaa²)₁₋₄ then R^(X) bonds to the N-terminus of the N-terminal Xaa² or an amino group of Xaa² (e.g. a side chain of an alpha amino acid) capable of forming an amide bond.

In other embodiments, R⁷ is

wherein when (Xaa²)₀₋₄ is (Xaa²)₁₋₄ then R^(X) bonds to the N-terminus of the N-terminal Xaa² or an amino group of Xaa² (e.g. a side chain of an alpha amino acid) capable of forming an amide bond.

In other embodiments, R⁷ is

wherein when (Xaa²)₀₋₄ is (Xaa²)₁₋₄ then R^(X) bonds to the N-terminus of the N-terminal Xaa² or an amino group of Xaa² (e.g. a side chain of an alpha amino acid) capable of forming an amide bond.

In some embodiments, R¹¹ is absent. In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹¹ is

In some embodiments, R¹² is ortho. In some embodiments, R¹² is para. In some embodiments, R¹² is meta. In some embodiments, R¹² is iodine. In some embodiments, R¹² is fluorine. In some embodiments, R¹² is chlorine. In some embodiments, R¹² is hydrogen. In some embodiments, R¹² is hydroxide. In some embodiments, R¹² is OCH₃. In some embodiments, R¹² is NH₂. In some embodiments, R¹² is NO₂. In some embodiments, R¹² is CH₃. In some embodiments, R¹² is CH₃ in para position. In some embodiments, R¹² is iodine in para position. In some embodiments, R¹² is chlorine in para position. In some embodiments, R¹² is OCH₃ in para position.

In some embodiments, Xaa² is absent. In some embodiments, (Xaa²)₀₋₄ is a single amino acid residue. In some embodiments, (Xaa²)₀₋₄ is a dipeptide, wherein each Xaa² may be the same or different. In some embodiments, (Xaa²)₀₋₄ is a tripeptide, wherein each Xaa² may be the same, different or a combination thereof. In some embodiments, (Xaa²)₀₋₄ consists of 4 amino acid residues connected by peptide bonds, wherein each Xaa² may be the same, different or a combination thereof. In some embodiments, each Xaa² is independently selected from proteinogenic amino acids and the non-proteinogenic amino acids listed in Table 1, wherein each peptide backbone amino group is optionally methylated. In some embodiments, each R¹³ in (Xaa²)₁₋₄ is hydrogen. In some embodiments, at least one R¹³ in (Xaa²)₁₋₄ is methyl. In some embodiments, at least one R¹⁴ in (Xaa²)₁₋₄ is —(CH₂)₂[O(CH₂)₂]₁₋₆— (e.g. when Xaa² is a residue of Amino-dPEG™₄-acid or Amino-dPEG™₆-acid).

In some embodiments, Xaa³ is absent. In some embodiments, (Xaa³)₀₋₄ is a single amino acid residue. In some embodiments, (Xaa³)₀₋₄ is a dipeptide, wherein each Xaa³ may be the same or different. In some embodiments, (Xaa³)₀₋₄ is a tripeptide, wherein each Xaa³ may be the same, different or a combination thereof. In some embodiments, (Xaa³)₀₋₄ consists of 4 amino acid residues connected by peptide bonds, wherein each Xaa³ may be the same, different or a combination thereof. In some embodiments, each Xaa³ is independently selected from proteinogenic amino acids and the non-proteinogenic amino acids listed in Table 1, wherein each peptide backbone amino group is optionally methylated. In some embodiments, each R¹³ in (Xaa³)₁₋₄ is hydrogen. In some embodiments, at least one R¹³ in (Xaa³)₁₋₄ is methyl. In some embodiments, at least one R¹⁴ in (Xaa³)₁₋₄ is —(CH₂)₂[O(CH₂)₂]₁₋₆— (e.g. when Xaa³ is a residue of Amino-dPEG™₄-acid or Amino-dPEG™₆-acid).

In some embodiments, one or more R^(X) comprises a radiometal chelator optionally bound by a radiometal. The radiometal chelator may be any radiometal chelator suitable for binding to the radiometal and which is functionalized for attachment to an amino group. Many suitable radiometal chelators are known, e.g. as summarized in Price and Orvig, Chem. Soc. Rev., 2014, 43, 260-290, which is incorporated by reference in its entirety. Non-limiting examples of radioisotope chelators include chelators selected from the group consisting of: DOTA and derivatives; DOTAGA; NOTA; NODAGA; NODASA; CB-DO2A; 3p-C-DEPA; TCMC; DO3A; DTPA and DTPA analogues optionally selected from CHX-A″-DTPA and 1B4M-DTPA; TETA; NOPO; Me-3,2-HOPO; CB-TE1A1P; CB-TE2P; MM-TE2A; DM-TE2A; sarcophagine and sarcophagine derivatives optionally selected from SarAr, SarAr-NCS, diamSar, AmBaSar, and BaBaSar; TRAP; AAZTA; DATA and DATA derivatives; H2-macropa or a derivative thereof; H₂dedpa, H₄octapa, H₄py4pa, H₄Pypa, H₂azapa, Hsdecapa, and other picolinic acid derivatives; CP256; PCTA; C-NETA; C-NE3TA; HBED; SHBED; BCPA; CP256; YM103; desferrioxamine (DFO) and DFO derivatives; and Hephospa. Exemplary non-limiting examples of radioisotope chelators and example radioisotopes chelated by these chelators are shown in Table 2. In alternative embodiments, R^(X) comprises a radioisotope chelator selected from those listed above or in Table 2, or is any other radioisotope chelator. One skilled in the art could replace any of the chelators listed herein with another chelator.

TABLE 2 Exemplary chelators and exemplary isotopes which bind said chelators Chelator Isotopes

Cu-64/67 Ga-67/68 In-111 Lu-177 Y-86/90 Bi-203/212/213 Pb-212 Ac-225 Gd-159 Yb-175 Ho-166 As-211 Sc-44/47 Pm-149 Pr-142 Sn-117m Sm-153 Tb-149/161 Er-165 Ra-223/224 Th-227

Cu-64/67

Pb-212

Bi-212/213

Cu-64/67

Cu-64/67

Cu-64/67

Cu-64/67

Cu-64/67 Ga-68 In-111 Sc-44/47

Cu-64/67 Ga-68 Lu-177 Y-86/90 Bi-213 Pb-212

Au-198/199

Rh-105

In-111 Sc-44/47 Lu-177 Y-86/90 Sn-117m Pd-109

In-111 Lu-177 Y-86/90 Bi-212/213

Cu-64/67

Cu-64/67

In-111 Lu-177 Y-86/90 Ac-225

Ac-225

In-111 Ac-225

In-111 Lu-177 Ac-225

In-111 Lu-177 Ac-225

In-111 Ga-68

In-111

Cu-64/67

Ac-225

In some embodiments, the radioisotope chelator is conjugated with a radioisotope. The conjugated radioisotope may be, without limitation, ⁶⁸Ga, ⁶¹Cu, ⁶⁴Cu, ⁶⁷Ga, ^(99m)Tc, ¹¹¹In, ⁴⁴Sc, ⁸⁶Y, ⁸⁹Zr, ⁹⁰Nb, ¹⁷⁷Lu, ^(117m)Sn ¹⁶⁵Er, ⁹⁰Y, ²²⁷Th, ²²⁵Ac, ²¹³Bi, ²¹²Bi, ²¹¹As, ²⁰³Pb, ²¹²Pb, ⁴⁷Sc, ¹⁶⁶Ho, ¹⁸⁸Re, ¹⁸⁶Re, ¹⁴⁹Pm, ¹⁵⁹Gd, ¹⁰⁵Rh, ¹⁰⁹Pd, ¹⁹⁸Au, ¹⁹⁹Au, ¹⁷⁵Yb, ¹⁴²Pr, ^(114m)In, and the like. In some embodiments, the chelator is a chelator from Table 2 and the conjugated radioisotope is a radioisotope indicated in Table 2 as a binder of the chelator.

In some embodiments, the radioisotope chelator is not conjugated to a radioisotope.

In some embodiments, the chelator is: DOTA or a derivative thereof, conjugated with ¹⁷⁷Lu, ¹¹¹In, ²¹³Bi, ⁶⁸Ga, ⁶⁷Ga, ²⁰³Pb, ²¹²Pb, ⁴⁴Sc, ⁴⁷Sc, ⁹⁰Y, ⁸⁶Y, ²²⁵Ac, ^(117m)Sn, ¹⁵³Sm, ¹⁴⁹Tb, ¹⁶¹Tb, ¹⁶⁵Er, ²¹³Bi, ²²⁴Ra, ²¹²Bi, ²²⁷Th, ²²³Ra, ⁶⁴Cu or ⁶⁷Cu; H2-MACROPA conjugated with ²²⁵Ac; Me-3,2-HOPO conjugated with ²²⁷Th; H₄py4pa conjugated with ²²⁵Ac, ²²⁷Th or ¹⁷⁷Lu; H₄pypa conjugated with ¹⁷⁷Lu; NODAGA conjugated with ⁶⁸Ga; DTPA conjugated with ¹¹¹In; or DFO conjugated with ⁸⁹Zr.

In some embodiments, the chelator is TETA (1,4,8,11-tetraazacyclotetradecane-1,4,8,11-tetraacetic acid), SarAr (1-N-(4-Aminobenzyl)-3,6,10,13,16,19-hexaazabicyclo[6.6.6]-eicosane-1,8-diamine), NOTA (1,4,7-triazacyclononane-1,4,7-triacetic acid), TRAP (1,4,7-triazacyclononane-1,4,7-tris[methyl(2-carboxyethyl)phosphinic acid), HBED (N,N0-bis(2-hydroxybenzyl)-ethylenediamine-N,N0-diacetic acid), 2,3-HOPO (3-hydroxypyridin-2-one), PCTA (3,6,9,15-tetraazabicyclo[9.3.1]-pentadeca-1(15), 11,13-triene-3,6,9-triacetic acid), DFO (desferrioxamine), DTPA (diethylenetriaminepentaacetic acid), OCTAPA (N,N0-bis(6-carboxy-2-pyridylmethyl)-ethylenediamine-N,N0-diacetic acid) or another picolinic acid derivative.

One or more R^(X) may comprise a chelator for radiolabelling with ^(99m)Tc, ^(94m)Tc, ¹⁸⁶Re, or ¹⁸⁸Re, such as mercaptoacetyl, hydrazinonicotinamide, dimercaptosuccinic acid, 1,2-ethylenediylbis-L-cysteine diethyl ester, methylenediphosphonate, hexamethylpropyleneamineoxime and hexakis(methoxy isobutyl isonitrile, and the like. In some embodiments, one or more R^(X) comprises a chelator, wherein the chelator is mercaptoacetyl, hydrazinonicotinamide, dimercaptosuccinic acid, 1,2-ethylenediylbis-L-cysteine diethyl ester, methylenediphosphonate, hexamethylpropyleneamineoxime or hexakis(methoxy isobutyl isonitrile). In some of these embodiments, the chelator is bound by a radioisotope. In some such embodiments, the radioisotope is ^(99m)Tc, ^(94m)Tc, ¹⁸⁶Re, or ¹⁸⁸Re.

One or more R^(X) may comprise a chelator that can bind ¹⁸F-aluminum fluoride ([¹⁸F]AlF), such as 1,4,7-triazacyclononane-1,4-diacetate (NODA) and the like. In some embodiments, the chelator is NODA. In some embodiments, the chelator is bound by [¹⁸F]AlF.

One or more R^(X) may comprise a chelator that can bind ⁷²As or ⁷⁷As, such as a trithiol chelate and the like. In some embodiments, the chelator is a trithiol chelate. In some embodiments, the chelator is conjugated to ⁷²As. In some embodiments, the chelator is conjugated to ⁷⁷As.

One or more R^(X) may comprise an aryl group substituted with a radioisotope. In some embodiments, one or more R^(X) is

wherein A, B, C, D and E are independently C or N, and R¹⁵ is a radiohalogen. In some embodiments, one or more R^(X) is

In some embodiments, one or more R^(X) is

In some embodiments, one or more R^(X) is

In some embodiments, one or more R^(X) is

In some embodiments, one or more R^(X) is

In some embodiments, one or more R^(X) is

In some embodiments, one or more R^(X) is

In some embodiments, one or more R^(X) is

In some of these embodiments, R¹⁵ is independently ²¹¹At, ¹³¹I, ¹²⁴I, ¹²³I, ⁷⁷Br or ¹⁸F. In some of these embodiments, R¹⁵ is ¹⁸F.

In some embodiments, one or more R^(X) may comprise a prosthetic group containing a trifluoroborate (BF₃), capable of ¹⁸F/¹⁹F exchange radiolabeling. In such embodiments, one or more R^(X) may be R¹⁶R¹⁷BF₃, wherein each R¹⁶ is independently

and R¹⁸ is absent,

Each —R¹⁷BF₃ may independently be selected from one or a combination of those listed in Table 3 (below), Table 4 (below), or

wherein R¹⁹ and R²⁰ are independently C₁-C₅ linear or branched alkyl groups. For Tables 3 and 4, the R in the pyridine substituted with —OR, —SR, —NR—, —NHR or —NR₂ groups is C₁-C₅ branched or linear alkyl. In some embodiments, one or more —R¹⁷BF₃ is independently selected from one or a combination of those listed in Table 3. In some embodiments, one or more —R¹⁷BF₃ is independently selected from one or a combination of those listed in Table 4. In some embodiments, one fluorine is ¹⁸F. In some embodiments, all three fluorines are ¹⁹F.

TABLE 3 Exemplary R¹⁷BF₃ groups.

TABLE 4 Exemplary R¹⁷BF₃ groups.

In some embodiments, R¹⁷BF₃ may form

in which the R (when present) in the pyridine substituted —OR, —SR, —NR—, —NHR or —NR₂ is a branched or linear C₁-C₅ alkyl. In some embodiments, R is a branched or linear C₁-C₅ saturated alkyl. In some embodiments, R is methyl. In some embodiments, R is ethyl. In some embodiments, R is propyl. In some embodiments, R is isopropyl. In some embodiments, R is n-butyl. In some embodiments, one fluorine is ¹⁸F. In some embodiments, all three fluorines are ¹⁹F.

In some embodiments, R¹⁷BF₃ may form

in which the R (when present) in the pyridine substituted —OR, —SR, —NR— or —NR₂ is branched or linear C₁-C₅ alkyl. In some embodiments, R is a branched or linear C₁-C₅ saturated alkyl. In some embodiments, R is methyl. In some embodiments, R is ethyl. In some embodiments, R is propyl. In some embodiments, R is isopropyl. In some embodiments, R is n-butyl. In some embodiments, one or more —R¹⁷BF₃ is

In some embodiments, one fluorine is ¹⁸F. In some embodiments, all three fluorines are ¹⁹F.

In some embodiments, one or more —R¹⁷BF₃ is

In some embodiments, R¹⁹ is methyl. In some embodiments, R¹⁹ is ethyl. In some embodiments, R¹⁹ is propyl. In some embodiments, R¹⁹ is isopropyl. In some embodiments, R¹⁹ is butyl. In some embodiments, R¹⁹ is n-butyl. In some embodiments, R¹⁹ is pentyl. In some embodiments, R²⁰ is methyl. In some embodiments, R²⁰ is ethyl. In some embodiments, R²⁰ is propyl. In some embodiments, R²⁰ is isopropyl. In some embodiments, R²⁰ is butyl. In some embodiments, R²⁰ is n-butyl. In some embodiments, R²⁰ is pentyl. In some embodiments, R¹⁹ and R²⁰ are both methyl. In some embodiments, one fluorine is ¹⁸F. In some embodiments, all three fluorines are ¹⁹F.

In some embodiments, one or more R^(X) may comprise a prosthetic group containing a silicon-fluorine-acceptor moiety. In some embodiments, the fluorine of the silicon-fluorine acceptor moiety is ¹⁸F. The prosthetic groups containing a silicon-fluorine-acceptor moiety may be independently selected from one or a combination of the following:

wherein R²¹ and R²² are independently a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₁₀ alkyl, alkenyl or alkynyl group. In some embodiments, R²¹ and R²² are independently selected from the group consisting of phenyl, tert-butyl, sec-propyl or methyl. In some embodiments, the prosthetic group is

In some embodiments, the prosthetic group is

In some embodiments, the prosthetic group is

In some embodiments, the prosthetic group is

In some embodiments, one or more R^(X) comprise a prosthetic group containing a fluorophosphate. In some embodiments, one or more R^(X) comprise a prosthetic group containing a fluorosulfate. In some embodiments, one or more R^(X) comprise a prosthetic group containing a sulfonylfluoride. Such prosthetic groups are well known and are commercially available, and are facile to attach (e.g. via an amide linkage). In some embodiments, the fluorine atom in the fluorophosphate, fluorosulfate or sulfonylfuloride is ¹⁸F. In some embodiments, the fluorine atom in the fluorophosphate, fluorosulfate or sulfonylfuloride is ¹⁹F.

Certain dual labeled compounds (i.e. when R⁷ comprises two R^(X) groups), have only a single radioactive atom. For example, but without limitation, one R^(X) group may be ¹⁸F labeled and the other R^(X) group may comprise only ¹⁹F or the other R^(X) group may comprise a chelator that is not chelated with a radiometal or is chelated with a metal that is not a radioisotope. In another non-limiting example, one R^(X) group may comprise an aryl substituted with a radioisotope and the other R^(X) group may comprise only ¹⁹F or the other R^(X) group may comprise a chelator that is not chelated with a radiometal or is chelated with a metal that is not a radioisotope. In yet another non-limiting example, one R^(X) group may comprise a chelator conjugated with a radioisotope and the other R^(X) group may comprise only ¹⁹F.

In some embodiments, R⁷ comprises a first R^(X) group and a second R^(X) group, wherein the first R^(X) group is a radiometal chelator optionally bound by a radiometal and the second R^(X) group is a prosthetic group containing a trifluoroborate. In some embodiments, R⁷ comprises a first R^(X) group and a second R^(X) group, wherein the first R^(X) group is a radiometal chelator optionally bound by a radiometal and the second R^(X) group is a prosthetic group containing a trifluoroborate.

In certain embodiments, the compound is conjugated with a radioisotope for positron emission tomography (PET) or single photon emission computed tomography (SPECT) imaging of PSMA expressing tumors, wherein the compound is conjugated with a radioisotope that is a positron emitter or a gamma emitter. Without limitation, the positron or gamma emitting radioisotope is ⁶⁸Ga, ⁶⁷Ga, ⁶¹Cu, ⁶⁴Cu, ^(99m)Tc, ^(110m)In, ¹¹¹In, ⁴⁴Sc, ⁸⁶Y, ⁸⁹Zr, ⁹⁰Nb, ¹⁸F, ¹³¹I, ¹²³I, ¹²⁴I and ⁷²As.

In certain embodiments the compound is conjugated with a radioisotope that is used for therapy of PSMA-expressing tumors. This includes radioisotopes such as ¹⁶⁵Er, ²¹²Bi, ²¹¹At, ¹⁶⁶Ho, ¹⁴⁹Pm, ¹⁵⁹Gd, ¹⁰⁵Rh, ¹⁰⁹Pd, ¹⁹⁸Au, ¹⁹⁹Au, ¹⁷⁵Yb, ¹⁴²Pr, ¹⁷⁷Lu, ¹¹¹In, ²¹³Bi, ²⁰³Pb, ²¹²Pb, ⁴⁴Sc, ⁴⁷Sc, ⁹⁰Y ²²⁵Ac, ^(117m)Sn ¹⁵³Sm, ¹⁴⁹Tb, ¹⁶¹Tb, ²²⁴Ra, ²²⁷Th, ²²³Ra, ⁷⁷As, ⁶⁴Cu or ⁶⁷Cu.

The compound may be HTK03149 or a salt or solvate thereof, optionally conjugated with a radiometal. In some embodiments, the radiometal is ¹⁷⁷Lu, ¹¹¹In, ²¹³Bi, ⁶⁸Ga, ⁶⁷Ga, ²⁰³Pb, ²¹²Pb, ⁴⁴Sc, ⁴⁷Sc, ⁹⁰Y ⁸⁶Y, ²²⁵Ac, ^(117m)Sn ¹⁵³Sm, ¹⁴⁹Tb, ¹⁶¹Tb, ¹⁶⁵Er, ²²⁴Ra, ²¹²Bi, ²²⁷Th, ²²³Ra, ⁶⁴Cu or ⁶⁷Cu. In some embodiments, the radiometal is ⁶⁸Ga.

The compound may be HTK03169, HTK03161, HTK03177, HTK03187, HTK03153, HTK03170, HTK04053, HTK03189A, HTK03189B, HTK04018, HTK04033, HTK04040, HTK04036, HTK04037, HTK04041, HTK04028, HTK04048, HTK04050, HTK03162, or HTK04055, or a salt or solvate thereof, optionally conjugated with a radiometal. In some embodiments, the radiometal is ¹⁷⁷Lu, ¹¹¹In, ²¹³Bi, ⁶⁸Ga, ⁶⁷Ga, ²⁰³Pb, ²¹²Pb, ⁴⁴Sc, ⁴⁷Sc, ⁹⁰Y, ⁸⁶Y, ²²⁵Ac, ^(117m)Sn, ¹⁵³Sm, ¹⁴⁹Tb, ¹⁶¹Tb, ¹⁶⁵Er, ²²⁴Ra, ²¹²Bi, ²²⁷Th, ²²³Ra, ⁶⁴Cu or ⁶⁷Cu. In some embodiments, the radiometal is ⁶⁸Ga. In some embodiments, the radiometal is ¹⁷⁷Lu.

When the radiolabeling group comprises or is conjugated to a diagnostic radioisotope, there is disclosed use of certain embodiments of the compound for preparation of a radiolabelled tracer for imaging PSMA-expressing tissues in a subject. There is also disclosed a method of imaging PSMA-expressing tissues in a subject, in which the method comprises: administering to the subject a composition comprising certain embodiments of the compound and a pharmaceutically acceptable excipient; and imaging tissue of the subject, e.g. using PET or SPECT. When the tissue is a diseased tissue (e.g. a PSMA-expressing cancer), PSMA-targeted treatment may then be selected for treating the subject.

When the radiolabeling group comprises a therapeutic radioisotope, there is disclosed use of certain embodiments of the compound (or a pharmaceutical composition thereof) for the treatment of PSMA-expressing conditions or diseases (e.g. cancer and the like) in a subject. Accordingly, there is provided use of the compound in preparation of a medicament for treating a PSMA-expressing condition or disease in a subject. There is also provided a method of treating PSMA-expressing disease in a subject, in which the method comprises: administering to the subject a composition comprising the compound and a pharmaceutically acceptable excipient. For example, but without limitation, the disease may be a PSMA-expressing cancer.

PSMA expression has been detected in various cancers (e.g. Rowe et al., 2015, Annals of Nuclear Medicine 29:877-882; Sathekge et al., 2015, Eur J Nucl Med Mol Imaging 42:1482-1483; Verburg et al., 2015, Eur J Nucl Med Mol Imaging 42:1622-1623; and Pyka et al., J Nucl Med Nov. 19, 2015 jnumed.115.164442). Accordingly, without limitation, the PSMA-expressing cancer may be prostate cancer, renal cancer, breast cancer, thyroid cancer, gastric cancer, colorectal cancer, bladder cancer, pancreatic cancer, lung cancer, liver cancer, brain tumor, melanoma, neuroendocrine tumor, ovarian cancer or sarcoma. In some embodiments, the cancer is prostate cancer.

Compounds Comprising Retro-Inverso Peptide Linkers

It is well known to those skilled in the art that the concept of retro-inverso peptide design can be applied to further vary the linker constructs defined for the various compounds above. Without prejudice for a given stereoisomer and no necessarily being bound by a given stereoisomer, the use of the retro-inverso approach would require that the preferred stereochemical configuration at certain stereogenic atoms be inverted provided that the polarity of the linking group(s) that bracket the stereogenic atom in question, e.g. N-termini and C-termini have been inverted in the design of a retro-inverso peptide fragment. It is also well known that amide linkages in peptidic linkers can be substituted with alternative linkages and in certain cases extended by an additional group of atoms, e.g. a CH₂ or C═O at a given amino acid. As such, it would be obvious to replace any such linker defined above (or elsewhere herein, e.g. in the Examples) with a linker in which the polarity of an amino acid is inverted and/or in which an amide linkage is replaced with an alternative linkage wherein the overall position and 3D conformation of the linker is retained. This principle is demonstrated in the following non-limiting examples of embodiments to illustrate how parts of the molecule that have the same or similar functional groups have been replaced with retro-inverso counterparts, as would be readily appreciated by those skilled in the art of peptide chemistry:

Accordingly, there is also disclosed compounds of Formula IV or Formula V defined below.

There is disclosed a compound, wherein the compound has Formula IV or is a salt or a solvate of Formula IV:

wherein:

R⁰ is S or O;

R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —OPO₃H₂, —OSO₃H, —B(OH)₂, or

R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—, CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, —C(O)—NH—C(CH₃)₂—, —CH₂SeCH₂—, —CH(COOH)—, —CH₂CH(COOH)—, —CH₂CH(COOH)CH₂—, —CH₂CH₂CH(COOH)—, —CH═CH—, —CH═CHCH₂—, —C≡CCH₂—, —HC[CH₂]CH—, or —HC[CH₂]CHCH₂—, wherein HC[CH₂]CH represents a cyclopropyl ring; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl; R⁴ is —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)—(NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, —C(O)—NH—NH—,

R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; R⁶ is hydrogen or methyl or ethyl; Xaa¹ is an amino acid of formula —N(R³)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl;

-   -   at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰         is:         -   a linear or branched, cyclic or acyclic, and/or aromatic or             non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or             branched, cyclic or acyclic, and/or aromatic or non-aromatic             X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having             only 1-3 heteroatoms;         -   —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₆             aromatic ring or partially or fully aromatic fused ring             system, wherein 0-3 carbons in the aromatic ring or the             partially or fully aromatic fused ring system are replaced             with N, S and/or O heteroatoms, and wherein the optional             substitutions are selected from OH, NH₂, NO₂, halogen, C₁-C₆             alkyl, and/or C₁-C₆ alkoxyl groups; or         -   selected from:

-   -   -   -   optionally modified with one, more than one, or a                 combination of: halogen, OMe, SMe, NH₂, NO₂, CN, OH, or                 additional endocyclic ring nitrogen atoms;                 R⁷ is R^(X)-(Xaa²)₀₋₄-,

R²⁸ is an albumin binder; Xaa² and Xaa³, when present, are independently —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a metal; an aryl or heteroaryl substituted with a radioisotope; a prosthetic group containing a trifluoroborate; or a prosthetic group containing a silicon-fluorine-acceptor moiety, a fluorophosphate, a fluorosulfate, or a sulfonylfluoride; and wherein any one or any combination of amide linkages within R⁷-(Xaa¹)₁₋₄—N(R⁶)—R⁵—R⁴—R³ is optionally replaced by one or a combination selected from the group consisting of —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)— (NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, and —C(O)—NH—NH—.

In various embodiments of the compounds of Formula IV, or salts or solvates of Formula IV, the definitions for variables R⁰, R^(1a), R^(1b), R^(1c)R², R³, R⁴, R⁵, R⁶, and R⁷, or any variable defined in the definitions for the foregoing variables, may be any such definition defined for Formula II.

In some embodiments of the compounds of Formula IV, or salts or solvates of Formula IV, —N(R⁶)—R⁵—R⁴— is

wherein X=CH or N, and Y=NH, S or O, and wherein any of these triaryl/heteroaryl groups is modified optionally with one, more than one, or a combination of halogen, OMe, SMe, NH₂, NO₂, CN, OH, or one or more additional endocyclic ring nitrogen atoms.

There is also disclosed a compound, wherein the compound has Formula V or is a salt or a solvate of Formula V:

wherein:

R⁰ is S or O;

R^(1a) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —OPO₃H₂, —OSO₃H, —B(OH)₂, or

R^(1b) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R^(1c) is —CO₂H, —SO₂H, —SO₃H, —PO₂H, —PO₃H₂, —B(OH)₂, or

R² is —CH₂—, —CH(OH)—, —CHF—, —CF₂—, —CH(CH₃)—, —C(CH₃)₂—, —CH₂CH(OH)—, —CH₂CHF—, —CHFCH₂—, —CF₂CH₂—, —CH₂CF₂—, —CH(OH)CH₂—, —CH(CH₃)CH₂—, —CH₂CH(CH₃)—, —C(CH₃)₂CH₂—, —CH₂C(CH₃)₂—, —CH₂CH(OH)CH₂—, —CH₂CHFCH₂—, —(CH₂)₂CH(OH)—, —(CH₂)₂CHF—, —(CH₂)₃—, —CH₂OCH₂—, —CH₂SCH₂—, —CHFCH₂CH₂—, —CH(OH)CH₂CH₂—, —CH(CH₃)CH₂CH₂—, —CH₂CH(CH₃)CH₂—, —CH₂CH₂CH(CH₃)—, —C(CH₃)₂CH₂CH₂—, —CH₂C(CH₃)₂CH₂—, —CH₂CH₂C(CH₃)₂—, —CH(CH₃)—O—CH₂—, —C(CH₃)₂O—CH₂—, —CH₂—O—CH(CH₃)—, —CH₂—O—C(CH₃)₂—, —CH₂—S(O)—CH₂—, —CH₂—S(O)₂—CH₂—, —CH(CH₃)—S—CH₂—, —C(CH₃)₂—S—CH₂—, —CH₂—S—CH(CH₃)—, —CH₂—S—C(CH₃)₂—, —CH(CH₃)—S(O)—, CH₂—, —C(CH₃)₂—S(O)—CH₂—, —CH₂—S(O)—CH(CH₃)—, —CH₂—S(O)—C(CH₃)₂—, —CH(CH₃)—S(O)₂—CH₂—, —C(CH₃)₂—S(O)₂—CH₂—, —CH₂—S(O)₂—CH(CH₃)—, —CH₂—S(O)₂—C(CH₃)₂—, —CH₂—NH—C(O)—, —C(O)—NH—CH₂—, —C(O)—NH—CH(CH₃)—, —C(O)—NH—C(CH₃)₂—, —CH₂SeCH₂—, —CH(COOH)—, —CH₂CH(COOH)—, —CH₂CH(COOH)CH₂—, —CH₂CH₂CH(COOH)—, —CH═CH—, —CH═CHCH₂—, —C≡CCH₂—, —HC[CH₂]CH—, or —HC[CH₂]CHCH₂—, wherein HC[CH₂]CH represents a cyclopropyl ring; R³ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl or alkenylenyl, or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl or heteroalkenylenyl; R⁴ is —O—, —S—, —Se—, —S(O)—, —S(O)₂—, —NHC(O)—, —C(O)NH—,

—C(O)—(NH)₂—C(O)—, —OC(O)NH, —NHC(O)O—, —NHC(O)NH—, —OC(S)NH, —NHC(S)O—, —NHC(S)NH—, —NHC(O)C(O)NH—, —S—S—, —S—CH₂—S—, —NH—NH—C(O)—, —C(O)—NH—NH—,

R⁵ is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₃₀ alkylenyl, alkenylenyl or alkynylenyl, or is a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₃₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl R⁶ is optionally in carbonyl, a phosphoryl or a sulfonyl group that is linked to the alpha-nitrogen in Xaa¹ to respectively give an amide, phosphoramidate/phosphonamidate, or sulfonamide linkage; or alternatively is: —NHC(O)—, —(NH)₂—C(O)—, —C(O)—(NH)₂—C(O)—, —OC(O)—, —OC(S)—, —NHC(S)—, —NHC(O)C(O)—, —NH—NH—C(O)—, to enjoin the alpha-nitrogen in Xaa¹. Xaa¹ is an amino acid of formula —N(R³)R⁹C(O)—, wherein each R⁸ is independently hydrogen or methyl, and wherein each R⁹ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; at least one R⁹ or R⁵ is —(CH₂)₀₋₃CH(R¹⁰)(CH₂)₀₋₃—, wherein R¹⁰ is:

-   -   a linear or branched, cyclic or acyclic, and/or aromatic or         non-aromatic C₂-C₁₉ alkyl, alkenyl or alkynyl; a linear or         branched, cyclic or acyclic, and/or aromatic or non-aromatic         X₂-X₁₉ heteroalkyl, heteroalkenyl or heteroalkynyl having only         1-3 heteroatoms;     -   —CH₂R²³, in which R²³ is an optionally substituted C₄-C₁₆         aromatic ring or partially or fully aromatic fused ring system,         wherein 0-3 carbons in the aromatic ring or the partially or         fully aromatic fused ring system are replaced with N, S and/or O         heteroatoms, and wherein the optional substitutions are selected         from OH, NH₂, NO₂, halogen, C₁—C alkyl, and/or C₁—C alkoxyl         groups; or     -   selected from:

-   -   -   optionally modified with one, more than one, or a             combination of: halogen, OMe, SMe, NH₂, NO₂, CN, OH, or             additional endocyclic ring nitrogen atoms;             R⁷ is R^(X)-(Xaa²)₀₋₄-,

R²¹ is an albumin binder; Xaa² and Xaa³, when present, are independently —N(R¹³)R¹⁴C(O)—, wherein each R¹³ is independently hydrogen or methyl, and wherein each R¹⁴ is independently: a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic C₁-C₂₀ alkylenyl, alkenylenyl or alkynylenyl; or a linear or branched, cyclic or acyclic, and/or aromatic or non-aromatic X₂-X₂₀ heteroalkylenyl, heteroalkenylenyl or heteroalkynylenyl; and each R^(X) is a radiolabeling group independently selected from: a radiometal chelator optionally bound by a metal; an aryl or heteroaryl substituted with a radioisotope; a prosthetic group containing a trifluoroborate; or a prosthetic group containing a silicon-fluorine-acceptor moiety, a fluorophosphate, a fluorosulfate, or a sulfonylfluoride.

In various embodiments of the compounds of Formula V, or salts or solvates of Formula V, the definitions for variables R⁰, R^(1a), R^(1b), R^(1c), R², R³, R⁴, R⁵, or any variable defined in the definitions for the foregoing variables or for variables R⁶ or R⁷, may be any such definition defined for Formula II.

The compounds presented herein incorporate peptides, which may be synthesized by any of a variety of methods established in the art. This includes but is not limited to liquid-phase as well as solid-phase peptide synthesis using methods employing 9-fluorenylmethoxycarbonyl (Fmoc) and/or t-butyloxycarbonyl (Boc) chemistries, and/or other synthetic approaches.

Solid-phase peptide synthesis methods and technology are well-established in the art. For example, peptides may be synthesized by sequential incorporation of the amino acid residues of interest one at a time. In such methods, peptide synthesis is typically initiated by attaching the C-terminal amino acid of the peptide of interest to a suitable resin. Prior to this, reactive side chain and alpha amino groups of the amino acids are protected from reaction by suitable protecting groups, allowing only the alpha carboxyl group to react with a functional group such as an amine group, a hydroxyl group, or an alkyl halide group on the solid support. Following coupling of the C-terminal amino acid to the support, the protecting group on the side chain and/or the alpha amino group of the amino acid is selectively removed, allowing the coupling of the next amino acid of interest. This process is repeated until the desired peptide is fully synthesized, at which point the peptide can be cleaved from the support and purified. A non-limiting example of an instrument for solid-phase peptide synthesis is the Aapptec Endeavor 90 peptide synthesizer.

To allow coupling of additional amino acids, Fmoc protecting groups may be removed from the amino acid on the solid support, e.g. under mild basic conditions, such as piperidine (20-50% v/v) in DMF. The amino acid to be added must also have been activated for coupling (e.g. at the alpha carboxylate). Non-limiting examples of activating reagents include without limitation 2-(1H-benzotriazol-1-yl)-1,1,3,3-tetramethyluronium hexafluorophosphate (HBTU), 2-(1H-benzotriazol-1-yl)-1,1,3,3-tetramethyluronium tetrafluoroborate (TBTU), 2-(7-Aza-1H-benzotriazole-1-yl)-1,1,3,3-tetramethyluronium hexafluorophosphate (HATU), benzotriazole-1-yl-oxy-tris(dimethylamino)phosphoniumhexafluorophosphate (BOP), benzotriazole-1-yl-oxy-tris(pyrrolidino)phosphoniumhexafluorophosphate (PyBOP). Racemization is minimized by using triazoles, such as 1-hydroxy-benzotriazole (HOBt) and 1-hydroxy-7-aza-benzotriazole (HOAt). Coupling may be performed in the presence of a suitable base, such as N,N-diisopropylethylamine (DIPEA/DIEA) and the like. For long peptides or if desired, peptide synthesis and ligation may be used.

Apart from forming typical peptide bonds to elongate a peptide, peptides may be elongated in a branched fashion by attaching to side chain functional groups (e.g. carboxylic acid groups or amino groups), either: side chain to side chain; or side chain to backbone amino or carboxylate. Coupling to amino acid side chains may be performed by any known method, and may be performed on-resin or off-resin. Non-limiting examples include: forming an amide between an amino acid side chain containing a carboxyl group (e.g. Asp, D-Asp, Glu, D-Glu, and the like) and an amino acid side chain containing an amino group (e.g. Lys, D-Lys, Orn, D-Orn, Dab, D-Dab, Dap, D-Dap, and the like) or the peptide N-terminus; forming an amide between an amino acid side chain containing an amino group (e.g. Lys, D-Lys, Orn, D-Orn, Dab, D-Dab, Dap, D-Dap, and the like) and either an amino acid side chain containing a carboxyl group (e.g. Asp, D-Asp, Glu, D-Glu, and the like) or the peptide C-terminus; and forming a 1, 2, 3-triazole via click chemistry between an amino acid side chain containing an azide group (e.g. Lys(N₃), D-Lys(N₃), and the like) and an alkyne group (e.g. Pra, D-Pra, and the like). The protecting groups on the appropriate functional groups must be selectively removed before amide bond formation, whereas the reaction between an alkyne and an azido groups via the click reaction to form an 1,2,3-triazole does not require selective deprotection. Non-limiting examples of selectively removable protecting groups include 2-phenylisopropyl esters (O-2-PhiPr) (e.g. on Asp/Glu) as well as 4-methyltrityl (Mtt), allyloxycarbonyl (alloc), 1-(4,4-dimethyl-2,6-dioxocyclohex-1-ylidene))ethyl (Dde), and 1-(4,4-dimethyl-2,6-dioxocyclohex-1-ylidene)-3-methylbutyl (ivDde) (e.g. on Lys/Orn/Dab/Dap). O-2-PhiPr and Mtt protecting groups can be selectively deprotected under mild acidic conditions, such as 2.5% trifluoroacetic acid (TFA) in DCM. Alloc protecting groups can be selectively deprotected using tetrakis(triphenylphosphine)palladium(0) and phenyl silane in DCM. Dde and ivDde protecting groups can be selectively deprotected using 2-5% of hydrazine in DMF. Deprotected side chains of Asp/Glu (L- or D-forms) and Lys/Orn/Dab/Dap (L- or D-forms) can then be coupled, e.g. by using the coupling reaction conditions described above.

Peptide backbone amides may be N-methylated (i.e. alpha amino methylated). This may be achieved by directly using Fmoc-N-methylated amino acids during peptide synthesis. Alternatively, N-methylation under Mitsunobu conditions may be performed. First, a free primary amine group is protected using a solution of 4-nitrobenzenesulfonyl chloride (Ns-Cl) and 2,4,6-trimethylpyridine (collidine) in NMP. N-methylation may then be achieved in the presence of triphenylphosphine, diisopropyl azodicarboxylate (DIAD) and methanol. Subsequently, N-deprotection may be performed using mercaptoethanol and 1,8-diazabicyclo[5.4.0]undec-7-ene (DBU) in NMP. For coupling protected amino acids to N-methylated alpha amino groups, HATU, HOAt and DIEA may be used.

The PSMA-binding moiety (e.g. Lys-ureido-Aad, and the like) may be constructed on solid phase via the formation of a ureido linkage between the amino groups of two amino acids. This can be done by attaching an Fmoc-protecting amino acid (for example Fmoc-Lys(ivDde)-OH) to Wang resin using standard activation/coupling strategy (for example, Fmoc-protected amino acid (4 eq.), HATU (4 eq.) and N,N-diisopropylethylamine (7 eq.) in N,N-dimethylformamide). The Fmoc-protecting group is then removed by 20% piperidine in N,N-dimethylformamide. To form the ureido linkage, the freed amino group of the solid-phase-attached amino acid is reacted with the 2^(nd) amino acid which has its carboxylate group protected with a t-butyl group and its amino group activated and converted to an isocyanate group (—N═C═O). The activation and conversion of an amino group to an isocyanate group can be achieved by reacting the amino group with phosgene or triphosgene. After the formation of the ureido linkage, the side chain functional group of the amino acid (for example ivDde on Lys) can be removed, and then the linker, albumin-binding motif, and/or radiolabeling group (e.g. radiometal chelator and the like) can be subsequently coupled to the PSMA-binding moiety.

The formation of the thioether (—S—) and ether (—O—) linkages (e.g. for R⁴) can be achieved either on solid phase or in solution phase. For example, the formation of thioether (—S—) linkage can be achieved by coupling between a thiol-containing compound (such as the thiol group on cysteine side chain) and an alkyl halide (such as 3-(Fmoc-amino)propyl bromide and the like) in an appropriate solvent (such as N,N-dimethylformamide and the like) in the presence of base (such as N,N-diisopropylethylamine and the like). The formation of an ether (—O—) linkage can be achieved via the Mitsunobu reaction between an alcohol (such as the hydroxyl group on the side chain of serine or threonine, for example) and a phenol group (such as the side chain of tyrosine, for example) in the presence of triphenylphosphine and diisopropyl azidicarboxylate (DIAD) in an aprotic solvent (such as 1,4-dioxane and the like). If the reactions are carried out in solution phase, the reactants used are preferably in equivalent molar ratio (1 to 1), and the desired products can be purified by flash column chromatography or high performance liquid chromatography (H PLC). If the reactions are carried out on solid phase, meaning one reactant has been attached to a solid phase, then the other reactant is normally used in excess amount (≥3 equivalents of the reactant attached to the solid phase). After the reactions, the excess unreacted reactant and reagents can be removed by sequentially washing the solid phase (resin) using a combination of solvents, such as N,N-dimethylformamide, methanol and dichloromethane, for example.

Non-peptide moieties (e.g. radiolabeling groups, albumin-binding groups and/or linkers) may be coupled to the peptide N-terminus while the peptide is attached to the solid support. This is facile when the non-peptide moiety comprises an activated carboxylate (and protected groups if necessary) so that coupling can be performed on resin. For example, but without limitation, a bifunctional chelator, such as 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA) tris(tert-butyl ester) may be activated in the presence of N-hydroxysuccinimide (NHS) and N,N′-dicyclohexylcarbodiimide (DCC) for coupling to a peptide. Alternatively, a non-peptide moiety may be incorporated into the compound via a copper-catalyzed click reaction under either liquid or solid phase conditions. Copper-catalyzed click reactions are well established in the art. For example, 2-azidoacetic acid is first activated by NHS and DCC and coupled to a peptide. Then, an alkyne-containing non-peptide moiety may be clicked to the azide-containing peptide in the presence of Cu²⁺ and sodium ascorbate in water and organic solvent, such as acetonitrile (ACN) and DMF and the like.

The synthesis of radiometal chelators is well-known and many chelators are commercially available (e.g. from Sigma-Aldrich™/Milipore Sigma™ and others). Protocols for conjugation of radiometals to the chelators are also well known (e.g. see Example 1, below). The synthesis of the silicon-fluorine-acceptor moieties can be achieved following previously reported procedures (e.g. Bernard-Gauthier et al. Biomed Res Int. 2014 2014:454503; Kostikov et al. Nature Protocols 2012 7:1956-1963; Kostikov et al. Bioconjug Chem. 2012 18:23:106-114; each of which is incorporated by reference in its entirety). The synthesis or acquisition of radioisotope-substituted aryl groups is likewise facile.

The synthesis of the R¹⁶R¹⁷BF₃ component on the PSMA-targeting compounds can be achieved following previously reported procedures (Liu et al. Angew Chem Int Ed 2014 53:11876-11880; Liu et al. J Nucl Med 2015 55:1499-1505; Liu et al. Nat Protoc 2015 10:1423-1432; Kuo et al. J Nucl Med, in press, doi:10.2967/jnumed.118.216598; each of which is incorporated by reference in its entirety). Generally, the BF₃-containing motif can be coupled to the linker via click chemistry by forming a 1,2,3-triazole ring between a BF₃-containing azido (or alkynyl) group and an alkynyl (or azido) group on the linker, or by forming an amide linkage between a BF₃-containing carboxylate and an amino group on the linker. To make the BF₃-containing azide, alkyne or carboxylate, a boronic acid ester-containing azide, alkyne or carboxylate is first prepared following by the conversion of the boronic acid ester to BF₃ in a mixture of HCl, DMF and KHF₂. For alkyl BF₃, the boronic acid ester-containing azide, alkyne or carboxylate can be prepared by coupling boronic acid ester-containing alkyl halide (such as iodomethylboronic acid pinacol ester) with an amine-containing azide, alkyne or carboxylate (such as N,N-dirnethylpropargylamine). For aryl BF₃, the boronic acid ester can be prepared via Suzuki coupling using aryl halide (iodine or bromide) and bis(pinacolato)diboron.

¹⁸F-Fluorination of the BF₃-containing PSMA-targeting compounds via ¹⁸F-¹⁹F isotope exchange reaction can be achieved following previously published procedures (Liu et al. Nat Protoc 2015 10:1423-1432, incorporated by reference in its entirety). Generally, ˜100 nmol of the BF₃-containing compound is dissolved in a mixture of 15 μl of pyridazine-HCl buffer (pH=2.0-2.5, 1 M), 15 μl of DMF and 1 μl of a 7.5 mM KHF₂ aqueous solution. ¹⁸F-Fluoride solution (in saline, 60 μl) is added to the reaction mixture, and the resulting solution is heated at 80° C. for 20 min. At the end of the reaction, the desired product can be purified by solid phase extraction or by reversed high performance liquid chromatography (HPLC) using a mixture of water and acetonitrile as the mobile phase.

When the peptide has been fully synthesized on the solid support, the desired peptide may be cleaved from the solid support using suitable reagents, such as TFA, tri-isopropylsilane (TIS) and water. Side chain protecting groups, such as Boc, pentamethyldihydrobenzofuran-5-sulfonyl (Pbf), trityl (Trt) and tert-butyl (tBu) are simultaneously removed (i.e. deprotection). The crude peptide may be precipitated and collected from the solution by adding cold ether followed by centrifugation. Purification and characterization of the peptides may be performed by standard separation techniques, such as high performance liquid chromatography (HPLC) based on the size, charge and polarity of the peptides. The identity of the purified peptides may be confirmed by mass spectrometry or other similar approaches.

A synthetic scheme for HTK03149 and conjugation with ⁶⁸Ga is depicted in FIG. 2 and is explained in further detail in Example 1 below. Examples of general synthetic schemes for additional compounds are shown in FIGS. 3 and 4 . Synthesis and testing of exemplary compounds HTK03041, HTK03169, HTK03161, HTK03177, HTK03187, HTK03153, HTK03170, HTK04053, HTK03189 (A and B), HTK04018, HTK04033, HTK04040, HTK04036, HTK04037, HTK04041, HTK04028, HTK04048, HTK04050, HTK03162, and HTK04055 are described in Example 2.

The present invention will be further illustrated in the following examples.

Example 1: HTK03149

General Methods

All chemicals and solvents were obtained from commercial sources, and used without further purification. PSMA-targeted peptides were synthesized using a solid phase approach on an AAPPTec (Louisville, Ky.) Endeavor 90 peptide synthesizer. Purification of peptides was performed on an Agilent 1260 Infinity II Preparative System equipped with a model 1260 Infinity II preparative binary pump, a model 1260 Infinity variable wavelength detector (set at 220 nm), and a 1290 Infinity II preparative open-bed fraction collector. The HPLC column used was a preparative column (Gemini, NX-C18, 5μ, 50×30 mm) purchased from Phenomenex. The collected HPLC eluates containing the desired peptide were lyophilized using a Labconco (Kansas City, Mo.) FreeZone 4.5 Plus freeze-drier. Mass analyses were performed using an AB SCIEX (Framingham, Mass.) 4000 QTRAP mass spectrometer system with an ESI ion source. C18 Sep-Pak cartridges (1 cm³, 50 mg) were obtained from Waters (Milford, Mass.). ⁶⁸Ga was eluted from an iThemba Labs (Somerset West, South Africa) generator. Radioactivity of ⁶⁸Ga-labeled peptides was measured using a Capintec (Ramsey, N.J.) CRC®-25R/W dose calibrator, and the radioactivity of mouse tissues collected from biodistribution studies were counted using a Perkin Elmer (Waltham, Mass.) Wizard2 2480 automatic gamma counter.

Synthesis of HTK03149

The structures of HTK03041 and HTK03149 are shown below, which only differ in that the former has a Glu residue in the PSMA binding moiety (Lys-ureido-Glu) whereas the latter has an Aad in the PSMA binding moiety (Lys-ureido-Aad) and therefore a side chain that is longer by one carbon:

As shown in FIG. 2 , the peptidomimetic PSMA-targeting Lys-ureido-Aad moiety was synthesized by solid-phase peptide chemistry. Fmoc-Lys(ivDde)-Wang resin (0.05 mmol, 0.58 mmol/g loading) was suspended in DMF for 30 min. Fmoc was then removed by treating the resin with 20% piperidine in DMF (3×8 min). To generate the isocyanate of the 2-aminoadipyl moiety, a solution of L-2-aminoadipic acid (Aad) di-tertbutyl ester hydrochloride (154.9 mg, 0.5 mmol, 10 eq relative to resin) and diisopropylethylamine (287.4 μL, 1.65 mmol, DIEA) in CH₂Cl₂ (5 mL) was cooled to −78° C. in a dry ice/acetone bath. Triphosgene (49.0 mg, 0.165 mmol) was dissolved in CH₂Cl₂ (5 mL), and the resulting solution was added dropwise to the reaction at −78° C. The reaction was then allowed to warm to room temperature and stirred for 30 minutes to give a solution of the isocyanate of the 2-aminoadipyl moiety. After which another 87.1 μL DIEA (0.5 mmole) was added, and then added to the lysine-immobilized resin and reacted for 16 h. After washing the resin with DMF, the ivDde-protecting group was removed with 2% hydrazine in DMF (5×5 min). Fmoc-Ala(9-Anth)-OH was then coupled to the side chain of Lys using Fmoc-protected amino acid (4 eq.), HATU (4 eq.), and N,N-diisopropylethylamine (7 eq.). Afterwards, elongation was continued with the addition of Fmoc-tranexamic acid, and finally DOTA-tris(t-bu)ester (2-(4,7,10-tris(2-(t-butoxy)-2-oxoehtyl)-1,4,7,10)-tetraazacyclododecan-1-yl)acetic acid).

The peptide was then deprotected and simultaneously cleaved from the resin by treating with 95/5 trifluoroacetic acid (TFA)/triisopropylsilane (TIS) for 2 h at room temperature. After filtration, the peptide was precipitated by the addition of cold diethyl ether to the TFA solution. The crude peptide was purified by HPLC using the preparative column. The eluates containing the desired peptide were collected, pooled, and lyophilized. The preparative HPLC condition was 24% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 6.9 min. The yield of HTK03149 was 21.4%. ESI-MS: calculated [M+H]⁺ for HTK03149 C₄H₇₅NeO₁₆ 1106.5410; found [M+H]+ 1106.0954.

Synthesis of Ga-HTK03149

To prepare Ga-HTK03149, a solution of HTK03149 was incubated with GaCl₃ (5 eq.) in NaOAc buffer (0.1 M, 500 μL, pH 4.2) at 80° C. for 15 min. The reaction mixture was then purified by HPLC using the semi-preparative column, and the HPLC eluates containing the desired peptide were collected, pooled, and lyophilized. The HPLC conditions were 24% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 10.9 min. The yield of Ga-HTK03149 was 90.3%. ESI-MS: calculated [M+H]⁺ for Ga-HTK03149 C₅₄H₇₄N₉O₁₆Ga 1173.4509; found [M+H]+ 1173.5450.

Cell Culture

LNCaP cell line was obtained from ATCC (LNCaP clone FGC, CRL-1740). It was established from a metastatic site of left supraclavicular lymph node of human prostatic adenocarcinoma. Cells were cultured in PRMI 1640 medium supplemented with 10% FBS, penicillin (100 U/mL) and streptomycin (100 μg/mL) at 37° C. in a humidified incubator containing 5% CO₂. Cells grown to 80-90% confluence were then washed with sterile phosphate-buffered saline (1×PBS pH 7.4) and collected by trypsinization. The collected cells concentration was counted with a Hausser Scientific (Horsham, Pa.) Hemacytometer.

PET/CT Imaging and Biodistribution

Imaging and biodistribution experiments were performed using NODSCID 1L2RγKO male mice. Mice were anesthetized by inhalation with 2% isoflurane in oxygen, and implanted subcutaneously with 1×10⁷ LNCaP cells behind left shoulder. Mice were imaged or used in biodistribution studies when the tumor grew up to reach 5-8 mm in diameter during 5-6 weeks.

PET imaging experiments were conducted using Siemens Inveon micro PET/CT scanner. Each tumor bearing mouse was injected 6-8 MBq of Ga-68 labeled tracer through the tail vein under anesthesia (2% isoflurane in oxygen). The mice were allowed to recover and roam freely in their cage. After 50 min, the mice were sedated again with 2% isoflurane in oxygen inhalation and positioned in the scanner. A 10-min CT scan was conducted first for localization and attenuation correction after segmentation for reconstructing the PET images. Then, a 10-min static PET imaging was performed to determined uptake in tumor and other organs. The mice were kept warm by a heating pad during acquisition. For biodistribution studies, the mice were injected with the radiotracer as described above. The mice was anesthetized with 2% isoflurane inhalation, and euthanized by CO₂ inhalation. Blood was withdrawn immediately from the heart, and the organs/tissues of interest were collected. The collected organs/tissues were weighed and counted using a Perkin Elmer (Waltham, Mass.) Wizard2 2480 gamma counter. The uptake in each organ/tissue was normalized to the injected dose using a standard curve, and expressed as the percentage of the injected dose per gram of tissue (% ID/g). FIG. 5 shows images obtained at 1 and 3 hours following the intravenous injection of ⁶⁸Ga-HTK03149. The images show very high tumour accumulation (solid arrow) with minimal kidney accumulation (dotted arrow) and very low activity in other organs.

Tables 5A and 5B show biodistribution data for HTK03149 at 1 hr and 3 hr post-injection, and Table 6 shows biodistribution data for HTK03041 at 1 hr post-injection.

TABLE 5A Biodistribution data and tumor-to-background contrast ratios of ⁶⁸Ga-labeled HTK03149 in mice bearing PSMA-expressing LNCAP cancer xenografts at 1 h post-injection. Tissue ⁶⁸Ga-HTK03149 (1 hour post injection) (% ID/g) M1 M2 M3 M4 M5 M6 M7 Average Blood 0.90 0.83 0.97 1.32 0.97 0.81 0.95 0.96 ± 0.17 Urine 488.21 473.17 417.73 258.22 330.48 169.39 215.32 336 ± 127 Fat 0.09 0.06 0.16 0.19 0.45 0.40 0.22 ± 0.16 Seminal 17.94 0.68 15.91 1.91 7.13 0.49 1.14 6.46 ± 7.52 Testes 0.28 0.19 0.28 0.59 0.27 0.47 0.56 0.38 ± 0.16 Intestine 0.35 0.22 0.41 0.26 0.26 0.34 0.26 0.30 ± 0.07 Stomach 0.07 0.06 0.18 0.08 0.07 0.07 0.09 0.09 ± 0.04 Spleen 0.36 0.33 0.36 0.49 0.25 0.26 0.56 0.37 ± 0.12 Liver 0.34 0.21 0.67 0.48 0.23 0.23 0.28 0.35 ± 0.17 Pancreas 0.14 0.15 0.21 0.19 0.15 0.14 0.21 0.17 ± 0.03 Adrenal glands 0.30 0.31 0.33 1.03 0.38 0.44 0.46 0.46 ± 0.26 Kidneys 4.27 4.63 4.09 17.66 6.34 3.92 6.66 6.79 ± 4.91 Lungs 0.67 0.63 0.73 1.63 0.68 0.54 0.87 0.82 ± 0.37 Heart 0.26 0.23 0.32 0.43 0.27 0.23 0.30 0.29 ± 0.07 Tumor 19.95 9.52 15.18 20.15 17.76 19.78 52.40 22.1 ± 13.9 Muscle 0.12 0.13 0.21 0.13 0.11 0.13 0.14 ± 0.04 Bone 0.12 0.56 0.09 0.11 0.08 0.08 0.14 0.10 ± 0.03 Brain 0.02 0.02 0.02 0.04 0.02 0.02 0.02 0.02 ± 0.01 Tail 0.68 0.45 0.69 1.45 0.71 0.45 1.59 0.86 ± 0.47 Thyroid 0.23 0.23 0.27 0.44 0.27 0.24 0.35 0.29 ± 0.08 Salivary 0.19 0.19 0.18 0.30 0.27 0.20 0.25 0.23 ± 0.05 Lacrimal 0.11 0.15 0.05 0.13 0.10 0.08 0.10 0.10 ± 0.03 Tumor: Muscle 168.25 119.94 95.71 139.14 176.19 410.47 185 ± 114 Tumor: Blood 22.27 11.44 15.69 15.26 18.38 24.47 55.21 23.2 ± 14.8 Tumor: Kidney 4.67 2.06 3.71 1.14 2.80 5.05 7.87 3.9 ± 2.2 Tumor: Salivary 103.76 50.85 84.60 66.28 64.67 98.55 210.42 97.0 ± 53.5

TABLE 5B Biodistribution data and tumor-to-background contrast ratios of ⁶⁸Ga-labeled HTK03149 in mice bearing PSMA-expressing LNCAP cancer xenografts at 3 h post-injection. Tissue ⁶⁸Ga-HTK03149 (3 hours post injection) (% ID/g) M1 M2 M3 M4 M5 Average Blood 0.21 0.22 0.38 0.40 0.54 0.35 ± 0.14 Urine 53.82 162.18 237.96 33.15 255.02 148 ± 102 Fat 0.21 0.25 0.07 0.05 0.22 0.16 ± 0.09 Seminal 0.08 1.97 1.78 0.05 2.09 1.19 ± 1.04 Testes 0.13 0.13 0.06 0.11 0.15 0.11 ± 0.03 Intestine 0.17 0.13 0.17 0.24 0.21 0.18 ± 0.04 Stomach 0.03 0.02 0.03 0.03 0.05 0.03 ± 0.01 Spleen 0.25 0.30 0.16 0.17 0.30 0.24 ± 0.07 Liver 0.11 0.13 0.12 0.15 0.15 0.13 ± 0.02 Pancreas 0.05 0.05 0.04 0.07 0.09 0.06 ± 0.02 Adrenal glands 0.54 0.46 0.25 0.68 0.38 0.46 ± 0.16 Kidneys 2.08 1.67 1.88 1.87 4.14 2.33 ± 1.02 Lungs 0.20 0.20 0.17 0.27 0.27 0.22 ± 0.05 Heart 0.09 0.08 0.09 0.08 0.12 0.09 ± 0.02 Tumor 44.05 39.21 34.49 15.81 34.21 33.55 ± 10.70 Muscle 0.06 0.08 0.02 0.05 0.04 0.05 ± 0.02 Bone 0.10 0.14 0.06 0.04 0.09 0.08 ± 0.04 Brain 0.02 0.02 0.01 0.01 0.02 0.02 ± 0.01 Tail 0.09 0.23 0.07 0.13 0.11 0.13 ± 0.06 Thyroid 0.09 0.09 0.07 0.08 0.18 0.10 ± 0.04 Salivary 0.35 0.17 0.04 0.04 0.16 0.15 ± 0.13 Lacrimal 0.43 0.42 0.07 0.14 0.00 0.21 ± 0.20 Tumor: Muscle 782.04 512.04 1399.53 327.34 837.13 771 ± 407 Tumor: Blood 212.16 178.07 91.50 39.81 63.38 117 ± 75  Tumor: Kidney 21.21 23.42 18.37 8.47 8.27 15.95 ± 7.15  Tumor: Salivary 125.04 233.18 775.33 361.93 207.82 341 ± 257

TABLE 6 Biodistribution data and tumor-to-background contrast ratios of ⁶⁸Ga-labeled HTK03041 in mice bearing PSMA-expressing LNCAP cancer xenografts at 1 h post-injection. Tissue ⁶⁸Ga-HTK03041 (% ID/g) M1 M2 M3 M4 M5 M6 Average Blood 1.28 1.73 1.35 1.72 0.95 1.52 1.43 ± 0.30 Urine 108.02 143.03 360.39 142.02 136.34 146.19 172.67 ± 93.01  Fat 2.31 1.91 1.63 1.58 3.14 1.82 2.06 ± 0.59 Seminal 1.17 0.81 1.40 1.00 1.14 0.65 1.03 ± 0.27 Testes 1.14 1.41 1.36 1.57 1.53 1.03 1.34 ± 0.22 Intestine 1.15 1.28 1.03 1.28 1.25 0.82 1.14 ± 0.18 Stomach 0.30 0.50 0.27 0.49 0.50 0.36 0.41 ± 0.11 Spleen 7.04 13.14 5.11 10.87 11.23 6.31 8.95 ± 3.22 Liver 1.26 1.43 1.45 1.61 1.58 0.93 1.38 ± 0.25 Pancreas 1.34 1.43 1.30 1.72 1.60 1.43 1.47 ± 0.16 Adrenal glands 7.48 7.13 5.34 11.16 11.24 11.02 8.90 ± 2.56 Kidneys 177.26 207.66 161.12 183.52 161.36 129.20 170.02 ± 26.35  Lungs 3.63 4.78 4.19 5.19 4.47 3.66 4.32 ± 0.62 Heart 1.66 1.96 1.72 2.06 1.97 1.54 1.82 ± 0.21 Tumor 33.79 24.10 19.61 16.63 25.03 19.40 23.09 ± 6.11  Muscle 0.62 0.80 0.75 0.84 0.83 0.69 0.75 ± 0.09 Bone 0.99 1.18 0.70 1.39 1.53 1.98 1.29 ± 0.45 Brain 0.07 0.07 0.06 0.11 0.12 0.18 0.10 ± 0.05 Tail 2.12 1.29 1.20 1.65 1.00 0.90 1.36 ± 0.45 Thyroid 2.32 2.47 2.21 2.68 3.23 1.97 2.48 ± 0.44 Salivary 4.15 5.60 3.83 5.47 6.10 4.82 4.99 ± 0.88 Lacrimal 0.96 1.38 0.56 2.65 4.29 4.82 2.44 ± 1.79 Tumor: Muscle 54.90 30.01 26.10 19.71 30.29 28.28 31.55 ± 12.08 Tumor: Blood 26.37 13.93 14.48 9.66 26.33 12.78 17.26 ± 7.24  Tumor: Kidney 0.19 0.12 0.12 0.09 0.16 0.15 0.14 ± 0.04 Tumor: Salivary 8.14 4.31 5.12 3.04 4.10 4.03 4.79 ± 1.77

Comparing Tables 5A and 5B (HTK03149) to Table 6 (HTK03041), it has therefore been demonstrated that the longer side chain of the Lys-ureido-Aad PSMA-targeting moiety compared to Lys-ureido-Glu significantly decreases the uptake of HTK03149 in kidney and salivary gland compared to HTK03041 without sacrificing the tumour-to-background contrast ratio. Modification of the Glu residue therefore results in an improved imaging and therapeutic agents for PSMA-expressing diseases/conditions.

Example 2: HTK03041, HTK03169, HTK03161, HTK03177, HTK03187, HTK03153, HTK03170, HTK04053, HTK03189 (A and B), HTK04018, HTK04033, HTK04040, HTK04036, HTK04037, HTK04041, HTK04028, HTK04048, HTK04050, HTK03162, and HTK04055

General Methods

PSMA-targeted peptides were synthesized using solid phase approach on an AAPPTec (Louisville, Ky.) Endeavor 90 peptide synthesizer. Purification and quality control of cold and radiolabeled peptides were performed on (1) Agilent HPLC systems equipped with a model 1200 quaternary pump, a model 1200 UV absorbance detector (set at 220 nm), and a Bioscan (Washington, D.C.) Nal scintillation detector. The operation of Agilent HPLC systems was controlled using the Agilent ChemStation software. The HPLC columns used were a semi-preparative column (Luna C18, 5μ, 250×10 mm) and an analytical column (Luna C18, 5μ, 250×4.6 mm) purchased from Phenomenex (Torrance, Calif.); or (2) an Agilent 1260 Infinity II Preparative System equipped with a model 1260 Infinity II preparative binary pump, a model 1260 Infinity variable wavelength detector (set at 220 nm), and a 1290 Infinity II preparative open-bed fraction collector. The HPLC column used was a preparative column (Gemini, NX-C18, 5μ, 50×30 mm) purchased from Phenomenex. The collected HPLC eluates containing the desired peptide were lyophilized using a Labconco (Kansas City, Mo.) FreeZone 4.5 Plus freeze-drier. Mass analyses were performed using an AB SCIEX (Framingham, Mass.) 4000 QTRAP mass spectrometer system with an ESI ion source. C18 Sep-Pak cartridges (1 cm³, 50 mg) were obtained from Waters (Milford, Mass.). Radioactivity of ⁶⁸Ga-labeled peptides was measured using a Capintec (Ramsey, N.J.) CRC®-25R/W dose calibrator, and the radioactivity of mouse tissues collected from biodistribution studies were counted using a Perkin Elmer (Waltham, Mass.) Wizard2 2480 automatic gamma counter.

The structures of HTK03041, HTK03149, HTK03169, HTK03161, HTK03177, HTK03187, HTK03153, HTK03170, HTK04053, HTK03189A, HTK03189B, HTK04018, HTK04033, HTK04040, HTK04036, HTK04037, HTK04041, HTK04028, HTK04048, HTK04050, HTK03162, and HTK04055 are shown in FIG. 6 .

Synthesis of HTK03169 and HTK04053

The peptidomimetic PSMA-targeting Aad-ureido-lysine moiety was synthesized by solid-phase peptide chemistry. Fmoc-Lys(ivDde)-Wang resin (0.10 mmol, 0.58 mmol/g loading) was suspended in DMF for 30 min. Fmoc was then removed by treating the resin with 20% piperidine in DMF (3×8 min). To generate the isocyanate of the 2-aminoadipyl moiety, a solution of L-2-aminoadipic acid (Aad) di-tertbutyl ester hydrochloride (154.9 mg, 0.5 mmol, 5 eq relative to resin) and diisopropylethylamine (287.4 μL, 1.65 mmol, DIEA) in CH₂Cl₂ (5 mL) was cooled to −78° C. in a dry ice/acetone bath. Triphosgene (49.0 mg, 0.165 mmol) was dissolved in CH₂Cl₂ (5 mL), and the resulting solution was added dropwise to the reaction at −78° C. The reaction was then allowed to warm to room temperature and stirred for 30 minutes to give a solution of the isocyanate of the 2-aminoadipyl moiety. After which another 87.1 μL DIEA (0.5 mmole) was added, and then added to the lysine-immobilized resin and reacted for 16 h. After washing the resin with DMF, the ivDde-protecting group was removed with 2% hydrazine in DMF (5×5 min). Fmoc-2-naphthylalanine (for HTK03169) or Fmoc-3-iodo-L-phenylalanine (for HTK04053) was then coupled to the side chain of Lys using Fmoc-protected amino acid (4 eq.), HATU (4 eq.), and DIEA (7 eq.). Afterwards, elongation was continued with the addition of Fmoc-tranexamic acid, and finally DOTA-tris(t-bu)ester (2-(4,7,10-tris(2-(t-butoxy)-2-oxoehtyl)-1,4,7,10)-tetraazacyclododecan-1-yl)acetic acid).

The peptide was then deprotected and simultaneously cleaved from the resin by treating with 95/5 trifluoroacetic acid (TFA)/triisopropylsilane (TIS) for 2 h at room temperature. After filtration, the peptide was precipitated by the addition of cold diethyl ether to the TFA solution. The crude peptide was purified by HPLC using the preparative or semi-preparative column. The eluates containing the desired peptide were collected and lyophilized. For HTK03169, the preparative HPLC condition was 20% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 9.0 min. The yield was 29.6%. ESI-MS: calculated [M+H]⁺ for HTK03169 C₅₀H₇₃N₉O₁₆ 1056.5254; found [M+H]⁺ 1056.5647. For HTK04053, the semi-preparative HPLC condition was 24% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 11.9 min. The yield was 47.6%. ESI-MS: calculated [M+H]⁺ for HTK04053 C₄₆H₇₀N₉O₁₆I 1132.4063; found [M+H]⁺ 1132.5523.

Synthesis of HTK03041, HTK03161, HTK03177, HTK03187, HTK03189 (A and B), HTK04018, HTK04033, and HTK04040

The peptidomimetic PSMA-targeting Asp- (for HTK03161), Glu- (for HTK03041), S-carboxymethylcystein-(for HTK03177), and O-carboxymethylserine- (for HTK03187), racemic 2-aminopimelic acid- (for HTK03189A and B), 3-(carboxymethyl)sulfonyl-L-alanine- (for HTK04018), (4R)-4-fluoro-Glu- (for HTK04040) ureido-lysine moieties were synthesized by solid-phase peptide chemistry. Fmoc-Lys(ivDde)-Wang resin (0.1 mmol, 0.58 mmol/g loading) was suspended in DMF for 30 min. Fmoc was then removed by treating the resin with 20% piperidine in DMF (3×8 min). To generate the isocyanate derivative, a solution of L-aspartic acid di-tertbutyl ester hydrochloride (140.9 mg, 0.5 mmol, 5 eq relative to resin), L-glutamic acid di-tertbutyl ester hydrochloride (147.9 mg, 0.5 mmol, 5 eq relative to resin), S-carboxymethylcystein di-tertbutyl ester hydrochloride (163.9 mg, 0.5 mmol, 5 eq relative to resin), O-carboxymethylserine di-tertbutyl ester hydrochloride (155.9 mg, 0.5 mmol, 5 eq relative to resin), 2-aminopimelic acid di-tert-butyl ester hydrochloride (161.9 mg, 0.5 mmol, 5 eq relative to resin), 3-(carboxymethyl)sulfonyl-L-alanine di-tert-butyl ester (179.9 mg, 0.5 mmol, 5 eq relative to resin), (4R)-4-fluoro-L-glutamic acid di-tert-butyl ester hydrochloride (156.6 mg, 0.5 mmol, 5 eq relative to resin), or (4S)-4-fluoro-L-glutamic acid di-tert-butyl ester hydrochloride (156.6 mg, 0.5 mmol, 5 eq relative to resin) and DIEA (287.4 μL, 1.65 mmol, DIEA) in CH₂Cl₂ (5 mL) was cooled to −78° C. in a dry ice/acetone bath. Triphosgene (49.0 mg, 0.165 mmol) was dissolved in CH₂Cl₂ (5 mL), and the resulting solution was added dropwise to the reaction at −78° C. The reaction was then allowed to warm to room temperature and stirred for 30 minutes to give a solution of the derivative. After which another 87.1 μL DIEA (0.5 mmole) was added, and then added to the lysine-immobilized resin and reacted for 16 h. After washing the resin with DMF, the ivDde-protecting group was removed with 2% hydrazine in DMF (5×5 min). Fmoc-Ala(9-Anth)-OH was then coupled to the side chain of Lys using Fmoc-protected amino acid (4 eq.), HATU (4 eq.), and DIEA (7 eq.). Afterwards, elongation was continued with the addition of Fmoc-tranexamic acid, and finally DOTA-tris(t-bu)ester.

The peptide was then deprotected and simultaneously cleaved from the resin by treating with 95/5 trifluoroacetic acid (TFA)/triisopropylsilane (TIS) for 2 h at room temperature. After filtration, the peptide was precipitated by the addition of cold diethyl ether to the TFA solution. The crude peptide was purified by HPLC using the preparative or semi-preparative column. The eluates containing the desired peptide were collected and lyophilized. For HTK03161, the preparative HPLC condition was 23% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 7.9 min. The yield was 17.2%. ESI-MS: calculated [M+H]⁺ for HTK03161 C₅₂H₇₂N₉O₁₆ 1078.5097; found [M+H]⁺ 1078.4720. For HTK03041, the semi-preparative HPLC condition was 31% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 7.2 min. The yield was 27%. ESI-MS: calculated [M+H]⁺ for HTK03161 C₅₃H₇₄N₉O₁₆ 1092.5; found [M+H]⁺ 1092.6. For HTK03177, the preparative HPLC condition was 24% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 8.2 min. The yield was 34.0%. ESI-MS: calculated [M+H]⁺ for HTK03177 C₅₃H₇₃N₉O₁₆S 1124.4974; found [M+H]+ 1124.4980. For HTK03187, the semi-preparative HPLC condition was 28% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 10.4 min. The yield was 30.3%. ESI-MS: calculated [M+H]⁺ for HTK03187 C₅₃H₇₃N₉O₁₇ 1108.5203; found [M+H]⁺ 1108.5101. For HTK03189, the semi-preparative HPLC condition was 28% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time of HTK03189A was 13.9 min, the yield was 19.7%. The retention time of HTK03189B was 15.5 min, the yield was 15.6%. ESI-MS: calculated [M+H]⁺ for HTK03189 C₅₅H₇₇N₉O₁₆ 1120.5567; found [M+H]⁺ 1120.5865 for HTK03189A and 1120.5118 for HTK03189B. For HTK04018, the semi-preparative HPLC condition was 30% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 9.2 min. ESI-MS: calculated [M+H]⁺ for HTK04018 C₅₃H₇₃N₉O₁₈S 1156.4873; found [M+H]⁺ 1156.3678. For HTK04033, the preparative HPLC condition was 23% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 8.5 min. The yield was 45.7%. ESI-MS: calculated [M+H]⁺ for HTK04033 C₅₃H₇₂N₉O₁₆F 1110.5159; found [M+H]⁺ 1110.3887. For HTK04040, the preparative HPLC condition was 23% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 9.4 min. The yield was 33.3%. ESI-MS: calculated [M+H]⁺ for HTK04040 C₅₃H₇₂N₉O₁₆F 1110.5159; found [M+H]⁺ 1110.0578.

Synthesis of HTK04036, HTK04037, and HTK04041

The peptidomimetic PSMA-targeting Aad-ureido-lysine moiety was synthesized by solid-phase peptide chemistry. Fmoc-Lys(ivDde)-Wang resin (0.10 mmol, 0.58 mmol/g loading) was suspended in DMF for 30 min. Fmoc was then removed by treating the resin with 20% piperidine in DMF (3×8 min). To generate the isocyanate of the 2-aminoadipyl moiety, a solution of L-2-aminoadipic acid (Aad) di-tert-butyl ester hydrochloride (154.9 mg, 0.5 mmol, 5 eq relative to resin) and DIEA (287.4 μL, 1.65 mmol) in CH₂Cl₂ (5 mL) was cooled to −78° C. in a dry ice/acetone bath. Triphosgene (49.0 mg, 0.165 mmol) was dissolved in CH₂Cl₂ (5 mL), and the resulting solution was added dropwise to the reaction at −78° C. The reaction was then allowed to warm to room temperature and stirred for 30 minutes to give a solution of the isocyanate of the 2-aminoadipyl moiety. After which another 87.1 μL DIEA (0.5 mmole) was added, and then added to the lysine-immobilized resin and reacted for 16 h. After washing the resin with DMF, the ivDde-protecting group was removed with 2% hydrazine in DMF (5×5 min). Fmoc-Ala(9-Anth)-OH was then coupled to the side chain of Lys using Fmoc-protected amino acid (4 eq.), HATU (4 eq.), and DIEA (7 eq.). Afterwards, elongation was continued with the addition of Fmoc-4-aminomethyl-phenylacetic acid (for HTK04036), Fmoc-3-aminomethyl-phenylacetic acid (for HTK04037), or Fmoc-4-aminobenzoic acid (for HTK04041) and finally DOTA-tris(t-bu)ester.

The peptide was then deprotected and simultaneously cleaved from the resin by treating with 95/5 TFA/TIS for 2 h at room temperature. After filtration, the peptide was precipitated by the addition of cold diethyl ether to the TFA solution. The crude peptide was purified by HPLC using the preparative or semi-preparative column. The eluates containing the desired peptide were collected and lyophilized. For HTK04036, the preparative HPLC condition was 23% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 9.7 min. The yield was 28.2%. ESI-MS: calculated [M+H]⁺ for HTK04036 C₅₅H₇₁N₉O₁₆ 1114.5097; found [M+H]⁺ 1114.3070. For HTK04037, the preparative HPLC condition was 23% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 11.6 min. The yield was 27.0%. ESI-MS: calculated [M+H]⁺ for HTK04037 C₅₅H₇₁N₉O₁₆ 1114.5097; found [M+H]⁺ 1114.3629. For HTK04041, the semi-preparative HPLC condition was 23% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 10.8 min. The yield was 12.8%. ESI-MS: calculated [M+H]⁺ for HTK04041 C₅₃H₆₇N₉O₁₆ 1086.4784; found [M+H]⁺ 1086.4066.

Synthesis of HTK03153 and HTK03170

The peptidomimetic PSMA-targeting Aad-ureido-lysine moiety was synthesized by solid-phase peptide chemistry. Fmoc-Lys(ivDde)-Wang resin (0.10 mmol, 0.58 mmol/g loading) was suspended in DMF for 30 min. Fmoc was then removed by treating the resin with 20% piperidine in DMF (3×8 min). To generate the isocyanate of the 2-aminoadipyl moiety, a solution of L-2-aminoadipic acid (Aad) di-tertbutyl ester hydrochloride (154.9 mg, 0.5 mmol, 5 eq relative to resin) and DIEA (287.4 μL, 1.65 mmol) in CH₂Cl₂ (5 mL) was cooled to −78° C. in a dry ice/acetone bath. Triphosgene (49.0 mg, 0.165 mmol) was dissolved in CH₂Cl₂ (5 mL), and the resulting solution was added dropwise to the reaction at −78° C. The reaction was then allowed to warm to room temperature and stirred for 30 minutes to give a solution of the isocyanate of the 2-aminoadipyl moiety. After which another 87.1 μL DIEA (0.5 mmole) was added, and then added to the lysine-immobilized resin and reacted for 16 h. After washing the resin with DMF, the ivDde-protecting group was removed with 2% hydrazine in DMF (5×5 min). Fmoc-Ala(9-Anth)-OH was then coupled to the side chain of Lys followed by Fmoc-tranexamic acid, Fmoc-Lys(ivDde)-OH, and Fmoc-Gly-OH using Fmoc-based chemistry. All coupling were carried out in DMF using Fmoc-protected amino acid (4 eq.), HATU (4 eq.), and DIEA (7 eq.). Afterwards, elongation was continued with the addition of 4-(p-chlorophenyl)butyric acid (for HTK03153) or 4-(p-methoxyphenyl)butyric acid (for HTK03170) coupled to the same peptide-bound resin using Fmoc-based chemistry. After removal of the ivDde-protecting group with 2% hydrazine in DMF (5×5 min), DOTA-tris(t-bu)ester was then coupled to the side chain of Lys to give the precursors.

The peptide was then deprotected and simultaneously cleaved from the resin by treating with 95/5 TFA/TIS for 2 h at room temperature. After filtration, the peptide was precipitated by the addition of cold diethyl ether to the TFA solution. The crude peptide was purified by HPLC using the preparative or semi-preparative column. The eluates containing the desired peptide were collected and lyophilized. For HTK03153, the preparative HPLC condition was 32% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 7.9 min. ESI-MS: calculated [M+H]⁺ for HTK03153 C₇₂H₉₉N₁₂O₁₉Cl 1471.6916; found [M+H]⁺ 1471.1257. For HTK03170, the semi-preparative HPLC condition was 34% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.1 min. ESI-MS: calculated [M+2H]²⁺ for HTK03170 C₇₃H₁₀₂N₁₂O₂₀ 734.3745; found [M+2H]²+734.5822

Synthesis of HTK04028, HTK04048 and HTK04050

The synthesis procedures for the construction of the core structures of HTK04028, HTK04048 and HTK04050 were the same as those of HTK03187, HTK03177, and HTK04033, respectively, as described above. After Fmoc-tranexamic acid, elongation was continued with the addition of Fmoc-Lys(ivDde)-OH, Fmoc-Gly-OH, and 4-(p-methoxyphenyl)butyric acid using Fmoc-based chemistry. All coupling were carried out in DMF using Fmoc-protected amino acid (4 eq.), HATU (4 eq.), and DIEA (7 eq.). After removal of the ivDde-protecting group with 2% hydrazine in DMF (5×5 min), DOTA-tris(t-bu)ester was then coupled to the side chain of Lys to give the precursors.

The peptide was then deprotected and simultaneously cleaved from the resin by treating with 95/5 TFA/TIS for 2 h at room temperature. After filtration, the peptide was precipitated by the addition of cold diethyl ether to the TFA solution. The crude peptide was purified by HPLC using the preparative or semi-preparative column. The eluates containing the desired peptide were collected and lyophilized. For HTK04028, the preparative HPLC condition was 28% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 14.8 min. The yield was 21.4%. ESI-MS: calculated [M+H]⁺ for HTK04028 C₇₂H₁₀₀N₁₂O₂₁ 1469.7204; found [M+H]⁺ 1469.7000. For HTK04048, the semi-preparative HPLC condition was 35% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 11.7 min. The yield was 53.4%. ESI-MS: calculated [M+H]⁺ for HTK04048 C₇₂H₁₀₀N₁₂O₂₀S 1485.6976; found [M+H]⁺ 1485.9910. For HTK04050, the semi-preparative HPLC condition was 35% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 11.4 min. The yield was 17.5%. ESI-MS: calculated [M+H]⁺ for HTK04050 C₇₂H₉₉N₁₂O₂₀F 1471.7161; found [M+H]⁺ 1471.9511.

Synthesis of Nonradioactive Ga-Complexed Standards

To prepare nonradioactive Ga-complexed standards, a solution of each precursor was incubated with GaCl₃ (5 eq.) in NaOAc buffer (0.1 M, 500 μL, pH 4.2) at 80° C. for 15 min. The reaction mixture was then purified by HPLC using the preparative or semi-preparative column, and the HPLC eluates containing the desired peptide were collected, pooled, and lyophilized. For Ga-HTK03041, the semi-preparative HPLC condition was 31% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 9.3 min. The yield was 89%. ESI-MS: calculated [M+H]⁺ for Ga-HTK03041 C₅₃H₇₂N₉O₁₆Ga 1159.4; found [M+H]⁺ 1159.4. For Ga-HTK03161, the semi-preparative HPLC condition was 29% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 11.3 min. The yield was 37.4%. ESI-MS: calculated [M+H]⁺ for Ga-HTK03161 C₅₂H₆₉N₉O₁₆Ga 1145.4196; found [M+H]⁺ 1146.1355. For Ga-HTK03169, the semi-preparative HPLC condition was 25% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 14.1 min. The yield was 55.0%. ESI-MS: calculated [M+H]⁺ for Ga-HTK03169 C₅₀H₇₀N₉O₁₆Ga 1122.4275; found [M+H]⁺ 1122.3041. For Ga-HTK03177, the semi-preparative HPLC condition was 32% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 7.8 min. The yield was 55.9%. ESI-MS: calculated [M+H]⁺ for Ga-HTK03177 C₅₃H₇₀N₉O₁₆SGa 1190.3995; found [M+H]⁺ 1190.3061. For Ga-HTK03187, the semi-preparative HPLC condition was 29% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.3 min. The yield was 52.8%. ESI-MS: calculated [M+H]⁺ for Ga-HTK03187 C₅₃H₇₀N₉O₁₇Ga 1174.4224; found [M+H]⁺ 1174.3425. For Ga-HTK03189A, the semi-preparative HPLC condition was 30% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.0 min. The yield was 52.6%. ESI-MS: calculated [M+H]+ for Ga-HTK03189A C55H74N9O16Ga 1186.4588; found [M+H]+ 1186.4164. For Ga-HTK03189B, the semi-preparative HPLC condition was 30% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.9 min. The yield was 42.1%. ESI-MS: calculated [M+H]+ for Ga-HTK03189B C55H74N9O16Ga 1186.4588; found [M+H]+ 1186.3279. For Ga-HTK04033, the semi-preparative HPLC condition was 29% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.3 min. The yield was 59.5%. ESI-MS: calculated [M+H]+ for Ga-HTK04033 C53H70N9016FGa 1177.4259; found [M+H]+ 1178.4800. For Ga-HTK04036, the semi-preparative HPLC condition was 29% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.1 min. The yield was 61.3%. ESI-MS: calculated [M+H]+ for Ga-HTK04036 C55H69N9O16Ga 1181.4196; found [M+H]+ 1181.4720. For Ga-HTK04037, the semi-preparative HPLC condition was 29% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 15.6 min. The yield was 54.2%. ESI-MS: calculated [M+H]+ for Ga-HTK04037 C55H69N9O16Ga 1181.4196; found [M+H]+ 1180.5278. For Ga-HTK04040, the semi-preparative HPLC condition was 30% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 10.2 min. The yield was 46.5%. ESI-MS: calculated [M+H]+ for Ga-HTK04040 C53H70N9016FGa 1177.4259; found [M+H]+ 1176.7043. For Ga-HTK04041, the semi-preparative HPLC condition was 29% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 14.4 min. The yield was 55.2%. ESI-MS: calculated [M+H]+ for Ga-HTK04041 C53H65N9O16Ga 1153.3883; found [M+H]+ 1153.5379. For Ga-HTK04053, the semi-preparative HPLC condition was 25% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 12.4 min. The yield was 74.7%. ESI-MS: calculated [M+H]+ for Ga-HTK04053 C46H68N9O16Ga 1199.3163; found [M+H]+ 1199.5712.

Synthesis of Ga-68 Labeled Compounds

[⁶⁸Ga]GaCl₃ was eluted from an iThemba Labs generator with a total of 4 mL of 0.1 M HCl. The eluted [⁶⁸Ga]GaCl₃ solution was added to 2 mL of concentrated HCl. This radioactive mixture was then added to a DGA resin column and washed with 3 mL of 5 M HCl. The column was then dried with air and the [⁶′Ga]GaCl₃ (0.10-0.50 GBq) was eluted with 0.5 mL of water into a vial containing a solution of the unlabeled precursor (25 μg) in 0.7 mL HEPES buffer (2 M, pH 5.3). The reaction mixture was heated in a microwave oven (Danby; DMW7700WDB) for 1 min at power setting 2. The mixture was purified by the semi-preparative HPLC column and quality control was performed via the analytical HPLC with the co-injection of the unlabeled standard. Radiochemical yields (decay-corrected) were >50% and radiochemical purities were >95%.

Synthesis of Lu-Complexed Standards

To prepare nonradioactive Lu-complexed standards of HTK03149, HTK03153, HTK03170, HTK04028, HTK04048, and HTK04050, a solution of precursor was incubated with LuCl₃ (5 eq.) in NaOAc buffer (0.1 M, 500 μL, pH 4.2) at 90° C. for 30 min. The reaction mixture was then purified by HPLC using the semi-preparative column, and the HPLC eluates containing the desired peptide were collected, pooled, and lyophilized. For Lu-HTK03149, the HPLC condition was 29% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 8.4 min. The yield of Lu-HTK03149 was 91.3%. ESI-MS: calculated [M+H]⁺ for Lu-HTK03149 C₅₄H₇₄N₉O₁₆Lu 1173.4509; found [M+H]⁺ 1173.5450. For Lu-HTK03153, the HPLC condition was 39% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 8.1 min. The yield of Lu-HTK03153 was 62.5%. ESI-MS: calculated [M+H]⁺ for Lu-HTK03153 C₇₂H₉₆N₁₂O₁₉ClLu 1643.6089; found [M+H]⁺ 1643.9000. For Lu-HTK03170, the HPLC condition was 34% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 15.4 min. The yield of Lu-HTK03170 was 94.7%. ESI-MS: calculated [M+H]⁺ for Lu-HTK03170 C₇₃H₉₉N₁₂O₂₀Lu 1639.6585; found [M+H]⁺ 1639.6933. For Lu-HTK04028, the HPLC condition was 35% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 11.5 min. The yield of Lu-HTK04028 was 29.4%. ESI-MS: calculated [M+H]⁺ for Lu-HTK04028 C₇₂H₉₇N₁₂O₂₁Lu 1641.6377; found [M+H]⁺ 1641.7775. For Lu-HTK04048, the HPLC condition was 35% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.9 min. The yield of Lu-HTK04048 was 70.2%. ESI-MS: calculated [M+H]⁺ for Lu-HTK04048 C₇₂H₉₇N₁₂O₂₀SLu 1657.6149; found [M+H]⁺ 1657.8672. For Lu-HTK04050, the HPLC condition was 35% acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 13.2 min. The yield of Lu-HTK04050 was 44.9%. ESI-MS: calculated [M+H]⁺ for Lu-HTK04050 C₇₂H₉₆N₁₂O₂₀FLu 1643.6334; found [M+H]⁺ 1644.7152.

Synthesis of Lu-177 Labeled Compounds

[¹⁷⁷Lu]LuCl₃ was purchased from ITM Isotopen Technologien Munchen AG. [¹⁷⁷Lu]LuCl₃ (100-1000 MBq) in 0.04 M HCl (10-100 μL) was added to a solution of the unlabeled precursor (25 μg) in 0.5 mL of NaOAc buffer (0.1 M, pH 4.5). The reaction mixture was incubated at 100° C. for 15 min. The mixture was purified by the semi-prep HPLC column and the quality control was performed via the analytical HPLC column with the co-injection of the unlabeled standard. Radiochemical yields (decay-corrected) were >50% and radiochemical purities were >95%.

Synthesis of HTK03162 and HTK04055

The di-azide-containing intermediates HTK03156 and HTK04039 for the synthesis of HTK03162 and HTK04055, respectively, were synthesized by solid-phase methods. The synthesis procedures for the preparation of their core structures were the same as the syntheses of HTK03149 (for HTK03156) and HTK03187 (for HTK04039). After coupling Fmoc-tranexamic acid, elongation was continued with the addition of Fmoc-Lys(Fmoc)-OH. The couplings were carried out in DMF using Fmoc-protected amino acid (4 equivalents), HATU (4 equivalents) and DIEA (7 equivalents). After removing the Fmoc-protected group, Fmoc-Aad(OtBu)-OH was then coupled to both side-chain and N-terminus of Lys. The couplings were carried out in DMF using Fmoc-protected amino acid (5 equivalents), HATU (5 equivalentsand DIEA (9 equivalents). 2-Azidoacetic acid (5 equivalents) was coupled to the N-terminus with DIEA (5 equivalents) and N-hydroxysuccinimide (6 equivalents) to give the di-azide-containing intermediates. At the end, the peptide was deprotected and simultaneously cleaved from the resin by treating with 95/5 TFA/TIS for 2 h at room temperature. After filtration, the peptide was precipitated by the addition of cold diethyl ether to the TFA solution. The crude peptide was purified by HPLC using the preparative column. The eluates containing the desired peptide were collected, pooled, and lyophilized. For HTK03156, the preparative HPLC condition was 34% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 4.8 min, and the yield of the precursor was 39%. ESI-MS: calculated [M+H]⁺ C₆₀H₈₂N₁₅O₁₈ 1300.5962; found [M+H]⁺ 1300.6369. For HTK04039, the preparative HPLC condition was 31% acetonitrile in water with 0.1% TFA at a flow rate of 30 mL/min. The retention time was 8.0 min, and the yield of the precursor was 5.8%. ESI-MS: calculated [M+H]⁺ C₅₉H₇₉N₁₅O₁₉ 1302.5755; found [M+H]⁺ 1302.6022.

To synthesize HTK03162, the di-azide-containing intermediate HTK03156 (7.4 mg, 5.7 μmol), N-propargyl-N,N-dimethylammoniomethyl-trifluoroborate (4.7 mg, 28.5 μmol, 5 eq) were dissolved in 300 μL acetonitrile, and then adjusting the solution to base condition (pH ˜8) by 1M K₂CO₃. A solution of 1 M CuSO₄ (28.5 μL, 5 eq), and 1 M sodium ascorbate (57 μL, 10 eq) was then added, and the reaction mixture was stirred at room temperature for 18 h. The reaction mixture was purified by HPLC using the semi-preparative column eluted with 36% acetonitrile acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 8.0 min, and the yield of the HTK03162 was 70.7%. ESI-MS: calculated [M+H]⁺ C₇₂H₁₀₄B₂F₆N₁₇O₁₃ 1630.7836; found [M+H]⁺ 1630.8000.

To synthesize HTK04055, the di-azide-containing intermediate HTK04039 (2.0 mg, 1.5 μmol), N-propargyl-N,N-dimethylammoniomethyl-trifluoroborate (1.24 mg, 7.5 μmol, 5 eq) were dissolved in 300 μL acetonitrile, and then adjusting the solution to base condition (pH ˜8) by 1M K₂CO₃. A solution of 1 M CuSO₄ (7.5 μL, 5 eq), and 1 M sodium ascorbate (15 μL, 10 eq) was then added, and the reaction mixture was stirred at room temperature for 18 h. The reaction mixture was purified by HPLC using the semi-preparative column eluted with 33% acetonitrile acetonitrile in water with 0.1% TFA at a flow rate of 4.5 mL/min. The retention time was 11.6 min, and the yield of HTK04055 was 55.9%. ESI-MS: calculated [M+H]⁺ C₇₁H₁₀₁B₂F₆N₁₇O₁₉ 1632.7628; found [M+H]⁺ 1632.6622.

Synthesis of F-18 Labeled Compounds.

No-carrier-added [¹⁸F]fluoride was obtained by bombardment of H₂ ¹⁸O with 18-MeV protons (Advanced Cyclotron Systems Inc) followed by trapping on an anion exchange resin column (pre-activated with brine and washed with DI water). The [¹⁸F]fluoride was then eluted from the column using HCl-pyridazine buffer (pH 2.0). Unlabeled trifluoroborate precursor HTK03162 or HTK04055 (100 nmol) was suspended in DMF (15 μL). The eluted [¹³F]fluoride (30-100 GBq) was added into a reaction vessel containing the solution of HTK03162 or HTK04055. The vial was heated at 80° C. for 20 minutes on a heating block and quenched upon the addition of 1 mL of water. The mixture was purified by the semi-preparative HPLC column and the quality control was performed via the analytical HPLC column with the co-injection of the unlabeled standard. Radiochemical yields (decay-corrected) were >10% and radiochemical purities were >95%.

Cell Culture

LNCaP cell line was obtained from ATCC (LNCaP clone FGC, CRL-1740). It was established from a metastatic site of left supraclavicular lymph node of human prostatic adenocarcinoma. Cells were cultured in PRMI 1640 medium supplemented with 10% FBS, penicillin (100 U/mL) and streptomycin (100 μg/mL) at 37° C. in a humidified incubator containing 5% CO₂. Cells grown to 80-90% confluence were then washed with sterile phosphate-buffered saline (1×PBS pH 7.4), and collected by trypsinization. The collected cell concentration was counted with a Hausser Scientific (Horsham, Pa.) Hemacytometer.

PET/CT, SPECT/CT Imaging and Biodistribution Studies

Imaging and biodistribution experiments were performed using NODSCID 1L2RγKO male mice. Mice were anesthetized by inhalation with 2% isoflurane in oxygen, and implanted subcutaneously with 1×10⁷ LNCaP cells behind left shoulder. Mice were imaged or used in biodistribution studies when the tumor grew up to reach 5-8 mm in diameter during 5-6 weeks.

PET imaging experiments were conducted using Siemens Inveon micro PET/CT scanner. Each tumor bearing mouse was injected 6-8 MBq of Ga-68 or F-18 labeled tracer through the tail vein under anesthesia (2% isoflurane in oxygen). The mice were allowed to recover and roam freely in their cage. After 50 min, the mice were sedated again with 2% isoflurane in oxygen inhalation and positioned in the scanner. A 10-min CT scan was conducted first for localization and attenuation correction after segmentation for reconstructing the PET images. Then, a 10-min static PET imaging was performed to determined uptake in tumor and other organs.

SPECT/CT imaging experiments were conducted using the MILabs (Utrecht, the Netherlands) U-SPECT-II/CT scanner. Each tumor bearing mouse was injected with ˜37 MBq of ⁷⁷Lu-labeled tracer through the tail vein under anesthesia (2% isoflurane in oxygen). The mice were allowed to recover and roam freely in their cage and imaged at 1, 4, 24, 72 and 120 hours after injection. At each time point, the mice were sedated again and positioned in the scanner. A 5-min CT scan was conducted first for anatomical reference with a voltage setting at 60 kV and current at 615 μA followed by a 60-min static emission scan acquired in list mode using an ultra-high resolution multi-pinhole rat-mouse (1 mm pinhole size) collimator. Data were reconstructed using the U-SPECT II software with a 20% window width on three energy windows. The photopeak window was centered at 208 keV, with lower scatter and upper scatter windows centered at 170 and 255 keV, respectively. Reconstruction parameters used maximum-likelihood expectation maximization (3 iterations), pixel-based ordered subset expectation maximization (16 subsets), and a post-processing filter (Gaussian blurring) of 0.5 mm. Images were decay corrected to injection time in PMOD (PMOD Technologies, Switzerland) then converted to DICOM for qualitative visualization in Inveon Research Workplace (Siemens Medical Solutions USA, Inc.).

For biodistribution studies, the mice were injected with the radiotracer as described above. At predetermined time points (1 h for ⁶⁸Ga studies; 1, 4, 24, 72, or 120 h for ¹⁷⁷Lu studies), the mice was anesthetized with 2% isoflurane inhalation, and euthanized by CO₂ inhalation. Blood was withdrawn immediately from the heart, and the organs/tissues of interest were collected. The collected organs/tissues were weighed and counted using a Perkin Elmer (Waltham, Mass.) Wizard2 2480 gamma counter. The uptake in each organ/tissue was normalized to the injected dose using a standard curve, and expressed as the percentage of the injected dose per gram of tissue (% ID/g).

The results for Example 2 are shown in Tables 7A, 7B, and 8-13 below and FIGS. 7-13 .

TABLE 7A Biodistribution data and tumor-to-background contrast ratios of ⁶⁸Ga-labeled HTK03149, HTK03161, HTK03169, HTK3177, HTK03187, HTK03189A, and HTK03189B in mice bearing PSMA-expressing LNCaP cancer xenografts. ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- HTK03149 HTK03161 HTK03169 HTK03177 HTK03187 HTK03189A HTK03189B Tissue 1 h 1 h 1 h 1 h 1 h 1 h 1 h (% ID/g) (n = 6) (n = 4) (n = 5) (n = 5) (n = 5) (n = 5) (n = 5) Blood 0.70 ± 0.17 1.13 ± 0.19 0.63 ± 0.36 0.70 ± 0.06 0.67 ± 0.10 0.89 ± 0.22 1.06 ± 0.25 Urine 319 ± 183 363 ± 155 421 ± 187 400 ± 262 444 ± 192  343 ± 54.4 441 ± 138 Fat 0.17 ± 0.15 0.15 ± 0.04 0.09 ± 0.04 0.09 ± 0.04 0.07 ± 0.02 0.18 ± 0.11 0.17 ± 0.10 Seminal 3.66 ± 5.36 6.22 ± 12.2 3.83 ± 2.93 0.28 ± 0.38 0.65 ± 0.80 3.61 ± 4.59 2.62 ± 4.74 Testes 0.23 ± 0.13 0.54 ± 0.51 0.13 ± 0.07 0.25 ± 0.07 0.15 ± 0.03 0.23 ± 0.11 0.26 ± 0.05 Intestine 0.24 ± 0.05 0.31 ± 0.09 0.23 ± 0.16 0.21 ± 0.02 0.23 ± 0.05 0.31 ± 0.18 0.28 ± 0.07 Stomach 0.07 ± 0.01 0.10 ± 0.04 0.09 ± 0.11 0.15 ± 0.09 0.08 ± 0.05 0.11 ± 0.06 0.11 ± 0.03 Spleen 0.27 ± 0.05 0.27 ± 0.06 0.13 ± 0.06 0.42 ± 0.15 0.17 ± 0.02 0.21 ± 0.10 0.20 ± 0.05 Liver 0.25 ± 0.06 0.28 ± 0.05 0.21 ± 0.16 0.33 ± 0.20 0.21 ± 0.05 0.34 ± 0.15 0.39 ± 0.08 Pancreas 0.13 ± 0.02 0.18 ± 0.03 0.11 ± 0.05 0.14 ± 0.01 0.12 ± 0.02 0.15 ± 0.04 0.18 ± 0.05 Adrenal glands 0.33 ± 0.11 0.41 ± 0.07 0.24 ± 0.08 0.46 ± 0.17 0.26 ± 0.06 0.35 ± 0.06 0.37 ± 0.15 Kidneys 4.15 ± 1.46 4.41 ± 1.26 2.18 ± 0.48 7.76 ± 1.00 2.83 ± 0.45 2.65 ± 0.69 2.13 ± 0.45 Lungs 0.53 ± 0.09 0.75 ± 0.13 0.38 ± 0.17 0.61 ± 0.08 0.52 ± 0.09 0.68 ± 0.12 0.82 ± 0.22 Heart 0.21 ± 0.03 0.32 ± 0.05 0.14 ± 0.07 0.21 ± 0.01 0.19 ± 0.04 0.24 ± 0.06 0.30 ± 0.06 Tumor 19.1 ± 6.37 12.7 ± 1.91 3.19 ± 0.70 24.7 ± 6.85 21.1 ± 3.62 2.10 ± 0.28 0.67 ± 0.15 Muscle 0.11 ± 0.04 0.15 ± 0.04 0.08 ± 0.05 0.18 ± 0.18 0.09 ± 0.01 0.14 ± 0.04 0.12 ± 0.03 Bone 0.11 ± 0.04 0.11 ± 0.02 0.08 ± 0.03 0.10 ± 0.03 0.13 ± 0.03 0.12 ± 0.03 0.10 ± 0.02 Brain 0.02 ± 0.00 0.02 ± 0.00 0.02 ± 0.01 0.02 ± 0.00 0.02 ± 0.00 0.02 ± 0.00 0.03 ± 0.00 Tail 0.58 ± 0.14 0.55 ± 0.10 0.48 ± 0.20 0.74 ± 0.12 0.46 ± 0.10 0.77 ± 0.30 0.90 ± 0.29 Thyroid 0.20 ± 0.05 0.29 ± 0.05 0.16 ± 0.07 0.23 ± 0.01 0.18 ± 0.02 0.25 ± 0.05 0.29 ± 0.08 Salivary 0.22 ± 0.06 0.23 ± 0.05 0.14 ± 0.03 0.22 ± 0.02 0.16 ± 0.02 0.20 ± 0.04 0.22 ± 0.04 Lacrimal 0.15 ± 0.09 0.12 ± 0.06 0.13 ± 0.06 0.12 ± 0.06 0.09 ± 0.03 0.18 ± 0.18 0.13 ± 0.04 Tumor: Blood 29.5 ± 15.8 11.4 ± 1.73 6.09 ± 2.24 36.1 ± 12.5 32.2 ± 8.53 2.41 ± 0.29 0.65 ± 0.15 Tumor: Muscle  185 ± 79.6 89.4 ± 36.1 47.1 ± 12.3 220 ± 135  249 ± 61.2 16.5 ± 4.08 5.68 ± 1.12 Tumor: kidney 5.44 ± 3.88 3.03 ± 0.84 1.47 ± 0.16 3.25 ± 1.16 7.67 ± 2.10 0.83 ± 0.21 0.32 ± 0.05 Tumor: Salivary 97.3 ± 59.2 57.2 ± 7.11 23.2 ± 1.91  112 ± 33.1  133 ± 14.0 10.5 ± 1.07 3.08 ± 0.53 Blood: Salivary 3.21 ± 0.64 5.08 ± 0.62 4.39 ± 2.06 3.14 ± 0.19 4.27 ± 0.74 4.39 ± 0.44 4.86 ± 1.16

TABLE 7B Biodistribution data and tumor-to-background contrast ratios of ⁶⁸Ga-labeled HTK04033, HTK04040, HTK04036, HTK04037, HTK04041 and HTK04053 in mice bearing PSMA-expressing LNCaP cancer xenografts. ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- ⁶⁸Ga- HTK04033 HTK04040 HTK04036 HTK04037 HTK04041 HTK04053 Tissue 1 h 1 h 1 h 1 h 1 h 1 h (% ID/g) (n = 4) (n = 4) (n = 5) (n = 5) (n = 5) (n = 5) Blood 0.59 ± 0.12 0.94 ± 0.12 0.69 ± 0.35 0.51 ± 0.12 1.00 ± 0.09 0.29 ± 0.05 Urine 440 ± 211 325 ± 66.8 422 ± 163 396 ± 114  396 ± 92.3 523 ± 330 Fat 0.10 ± 0.03 0.60 ± 0.30 0.09 ± 0.05 0.06 ± 0.01 0.11 ± 0.03 0.04 ± 0.01 Seminal 0.10 ± 0.04 0.51 ± 0.12 2.08 ± 3.09 8.45 ± 10.0 1.68 ± 3.44 7.61 ± 12.5 Testes 0.17 ± 0.05 0.74 ± 0.04 0.25 ± 0.14 0.18 ± 0.04 0.31 ± 0.05 0.11 ± 0.02 Intestine 0.20 ± 0.04 0.53 ± 0.04 0.41 ± 0.23 0.28 ± 0.03 0.19 ± 0.04 0.15 ± 0.03 Stomach 0.07 ± 0.03 0.23 ± 0.08 0.12 ± 0.11 0.12 ± 0.05 0.07 ± 0.03 0.06 ± 0.04 Spleen 0.19 ± 0.03 2.58 ± 0.80 0.27 ± 0.13 0.24 ± 0.05 0.40 ± 0.11 0.12 ± 0.03 Liver 0.29 ± 0.09 0.94 ± 0.11 0.48 ± 0.67 0.20 ± 0.03 0.37 ± 0.08 0.13 ± 0.07 Pancreas 0.15 ± 0.08 0.61 ± 0.08 0.13 ± 0.07 0.11 ± 0.01 0.15 ± 0.02 0.06 ± 0.02 Adrenal glands 0.16 ± 0.03 2.68 ± 0.70 0.30 ± 0.16 0.19 ± 0.03 0.31 ± 0.05 0.12 ± 0.03 Kidneys 3.31 ± 0.34 76.0 ± 22.6 5.82 ± 5.00 4.47 ± 0.90 6.82 ± 2.93 3.48 ± 2.39 Lungs 0.50 ± 0.05 2.01 ± 0.21 0.55 ± 0.26 0.46 ± 0.09 0.82 ± 0.08 0.28 ± 0.04 Heart 0.18 ± 0.06 0.88 ± 0.08 0.22 ± 0.12 0.15 ± 0.03 0.30 ± 0.03 0.09 ± 0.02 Tumor 18.5 ± 4.05 18.8 ± 5.06 12.1 ± 2.15 13.1 ± 4.69 12.2 ± 3.15 4.96 ± 2.75 Muscle 0.09 ± 0.04 0.64 ± 0.50 0.11 ± 0.06 0.08 ± 0.03 0.13 ± 0.03 0.05 ± 0.01 Bone 0.08 ± 0.01 0.18 ± 0.03 0.10 ± 0.03 0.07 ± 0.01 0.13 ± 0.02 0.04 ± 0.01 Brain 0.02 ± 0.00 0.25 ± 0.43 0.02 ± 0.01 0.02 ± 0.00 0.02 ± 0.00 0.01 ± 0.00 Tail 0.66 ± 0.50 0.85 ± 0.54 0.42 ± 0.18 0.41 ± 0.16 0.57 ± 0.05 0.20 ± 0.07 Thyroid 0.18 ± 0.03 1.14 ± 0.14 0.22 ± 0.12 0.16 ± 0.03 0.29 ± 0.04 0.09 ± 0.01 Salivary 0.13 ± 0.02 1.29 ± 0.24 0.18 ± 0.08 0.14 ± 0.03 0.26 ± 0.04 0.06 ± 0.02 Lacrimal 0.04 ± 0.03 0.06 ± 0.02 0.06 ± 0.03 0.07 ± 0.04 0.11 ± 0.05 0.05 ± 0.01 Tumor: Blood 31.7 ± 5.00 20.4 ± 6.02 21.0 ± 8.58 26.3 ± 10.5 12.4 ± 3.62 16.8 ± 7.00 Tumor: Muscle  221 ± 53.4 43.2 ± 24.9  139 ± 62.4  165 ± 52.9 95.1 ± 33.7 93.7 ± 27.0 Tumor: kidney 5.64 ± 1.37 0.26 ± 0.08 3.02 ± 1.44 3.02 ± 1.22 2.06 ± 0.89 1.84 ± 1.26 Tumor: Salivary  138 ± 21.1 14.9 ± 4.40 75.1 ± 28.2 92.2 ± 34.5 48.2 ± 12.2 84.3 ± 32.1 Blood: Salivary 4.38 ± 0.57 0.73 ± 0.06 3.68 ± 0.41 3.55 ± 0.46 3.96 ± 0.51 5.19 ± 1.73

TABLE 8 Biodistribution data and tumor-to-background contrast ratios of ¹⁷⁷Lu-labeled HTK03149 in mice bearing PSMA-expressing LNCaP cancer xenografts. ¹⁷⁷Lu-HTK03149 Tissue 1 h 4 h 24 h 72 h 120 h (% ID/g) (n = 4) (n = 4) (n = 4) (n = 4) (n = 4) Blood 0.88 ± 0.07 0.17 ± 0.03 0.12 ± 0.01 0.07 ± 0.02 0.02 ± 0.01 Urine 460 ± 199 60.6 ± 30.4 1.29 ± 0.98 0.47 ± 0.44 0.33 ± 0.23 Fat 0.14 ± 0.05 0.02 ± 0.00 0.02 ± 0.00 0.04 ± 0.04 0.01 ± 0.01 Seminal 0.38 ± 0.47 0.04 ± 0.03 0.02 ± 0.00 0.03 ± 0.01 0.01 ± 0.00 Testes 0.26 ± 0.02 0.06 ± 0.00 0.05 ± 0.00 0.05 ± 0.01 0.03 ± 0.01 Intestine 0.27 ± 0.06 0.19 ± 0.07 0.09 ± 0.05 0.09 ± 0.03 0.31 ± 0.48 Stomach 0.10 ± 0.02 0.05 ± 0.02 0.13 ± 0.11 0.14 ± 0.10 0.24 ± 0.31 Spleen 0.26 ± 0.05 0.09 ± 0.02 0.09 ± 0.01 0.14 ± 0.06 0.13 ± 0.08 Liver 0.26 ± 0.03 0.11 ± 0.01 0.10 ± 0.01 0.13 ± 0.03 0.08 ± 0.04 Pancreas 0.17 ± 0.03 0.03 ± 0.00 0.03 ± 0.00 0.03 ± 0.00 0.02 ± 0.01 Adrenal glands 0.35 ± 0.07 0.08 ± 0.01 0.07 ± 0.02 0.12 ± 0.05 0.02 ± 0.03 Kidneys 7.67 ± 1.35 1.67 ± 0.38 0.60 ± 0.11 0.68 ± 0.39 0.28 ± 0.06 Lungs 0.72 ± 0.06 0.17 ± 0.01 0.12 ± 0.01 0.11 ± 0.02 0.09 ± 0.08 Heart 0.28 ± 0.04 0.07 ± 0.01 0.06 ± 0.00 0.06 ± 0.01 0.03 ± 0.01 Tumor 14.0 ± 2.16 20.9 ± 2.99 13.8 ± 2.88 17.1 ± 4.70 16.4 ± 11.0 Muscle 0.18 ± 0.14 0.02 ± 0.01 0.02 ± 0.00 0.02 ± 0.00 0.01 ± 0.00 Bone 0.07 ± 0.02 0.02 ± 0.01 0.03 ± 0.00 0.03 ± 0.01 0.01 ± 0.01 Brain 0.02 ± 0.00 0.01 ± 0.00 0.01 ± 0.00 0.00 ± 0.00 0.00 ± 0.00 Tail 0.52 ± 0.13 0.20 ± 0.14 0.14 ± 0.14 0.08 ± 0.02 0.04 ± 0.01 Thyroid 0.27 ± 0.02 0.07 ± 0.01 0.06 ± 0.00 0.08 ± 0.01 0.04 ± 0.01 Salivary 0.23 ± 0.06 0.05 ± 0.01 0.05 ± 0.01 0.05 ± 0.02 0.03 ± 0.01 Lacrimal 0.02 ± 0.01 0.03 ± 0.01 0.00 ± 0.00 0.01 ± 0.01 0.00 ± 0.00 Tumor: Blood 16.0 ± 2.44 12.6 ± 1.11  120 ± 31.1  258 ± 74.7 780 ± 451 Tumor: Muscle  101 ± 48.3 1028 ± 227  842 ± 216 985 ± 342 1336 ± 566  Tumor: Kidney 1.83 ± 0.21 12.9 ± 2.72 24.0 ± 7.26 28.1 ± 6.86 56.8 ± 26.2 Tumor: Salivary 63.4 ± 13.6  415 ± 60.5  286 ± 88.4 349 ± 109 533 ± 218 Blood: Salivary 3.98 ± 0.65 3.32 ± 0.59 2.37 ± 0.24 1.45 ± 0.69 0.75 ± 0.19

TABLE 9 Biodistribution data and tumor-to-background contrast ratios of ¹⁷⁷Lu-labeled HTK03153 in mice bearing PSMA-expressing LNCaP cancer xenografts. ¹⁷⁷Lu-HTK03153 Tissue 1 h 4 h 24 h 72 h 120 h (% ID/g) (n = 7) (n = 7) (n = 7) (n = 7) (n = 6) Blood 24.7 ± 2.11 18.8 ± 1.16 7.44 ± 1.12 1.46 ± 0.58 0.37 ± 0.13 Urine 36.9 ± 21.8 35.6 ± 11.1 22.3 ± 7.35 4.92 ± 3.36 2.65 ± 1.27 Fat 1.61 ± 0.36 1.46 ± 0.36 0.66 ± 0.16 0.30 ± 0.13 0.19 ± 0.09 Seminal 1.30 ± 0.32 1.20 ± 0.32 0.70 ± 0.50 0.23 ± 0.11 0.15 ± 0.05 Testes 3.24 ± 0.40 3.45 ± 0.40 2.15 ± 0.33 1.38 ± 0.48 0.98 ± 0.22 Intestine 1.56 ± 0.16 1.22 ± 0.16 0.78 ± 0.10 0.30 ± 0.10 0.18 ± 0.08 Stomach 0.89 ± 0.15 0.71 ± 0.15 0.68 ± 0.15 0.31 ± 0.17 0.15 ± 0.10 Spleen 2.54 ± 0.27 1.54 ± 0.27 1.21 ± 0.24 1.03 ± 0.46 1.53 ± 0.71 Liver 3.61 ± 0.65 3.19 ± 0.65 1.52 ± 0.25 0.73 ± 0.21 0.40 ± 0.03 Pancreas 2.17 ± 0.21 1.60 ± 0.21 0.77 ± 0.09 0.29 ± 0.13 0.15 ± 0.04 Adrenal glands 4.52 ± 0.46 3.50 ± 0.46 2.35 ± 0.47 1.20 ± 0.26 0.82 ± 0.19 Kidneys 10.0 ± 1.09 9.10 ± 1.09 8.81 ± 1.06 4.95 ± 2.39 2.81 ± 0.35 Lungs 10.8 ± 1.38 9.40 ± 1.38 3.93 ± 0.41 1.87 ± 1.31 0.56 ± 0.12 Heart 5.95 ± 0.44 4.26 ± 0.44 1.90 ± 0.25 0.68 ± 0.25 0.32 ± 0.07 Tumor 14.2 ± 7.67 27.9 ± 7.67 57.2 ± 10.1 69.1 ± 13.4 86.4 ± 8.05 Muscle 1.54 ± 0.16 1.19 ± 0.16 0.56 ± 0.10 0.18 ± 0.07 0.07 ± 0.01 Bone 1.26 ± 0.15 0.83 ± 0.15 0.40 ± 0.08 0.16 ± 0.06 0.06 ± 0.04 Brain 0.35 ± 0.03 0.27 ± 0.03 0.13 ± 0.02 0.05 ± 0.02 0.03 ± 0.00 Tail 5.38 ± 5.96 6.89 ± 5.96 1.55 ± 0.34 0.44 ± 0.15 0.24 ± 0.04 Thyroid 4.80 ± 0.32 3.57 ± 0.32 1.95 ± 0.32 0.85 ± 0.28 0.52 ± 0.12 Salivary 3.56 ± 0.39 2.86 ± 0.39 1.25 ± 0.14 0.68 ± 0.22 0.37 ± 0.04 Lacrimal 0.35 ± 0.07 0.35 ± 0.14 0.18 ± 0.06 0.05 ± 0.05 0.02 ± 0.02 Tumor: Blood 0.58 ± 0.17 1.48 ± 0.34 7.80 ± 1.51 49.4 ± 8.48  217 ± 40.7 Tumor: Muscle 9.24 ± 2.53 23.5 ± 5.88  106 ± 25.1  406 ± 76.4 1073 ± 218  Tumor: Kidney 1.44 ± 0.50 3.06 ± 0.76 6.49 ± 0.85 18.1 ± 14.4 27.9 ± 7.77 Tumor: Salivary 3.96 ± 1.02 10.0 ± 3.38 45.6 ± 6.71  105 ± 17.1  237 ± 33.3 Blood: Salivary 6.95 ± 0.67 6.67 ± 0.91 5.99 ± 1.07 2.10 ± 0.21 0.99 ± 0.30

TABLE 10 Biodistribution data and tumor-to-background contrast ratios of ¹⁷⁷Lu-labeled HTK03170 in mice bearing PSMA-expressing LNCaP cancer xenografts. ¹⁷⁷Lu-HTK03170 Tissue 1 h 4 h 24 h 72 h 120 h (% ID/g) (n = 6) (n = 6) (n = 6) (n = 6) (n = 6) Blood 16.9 ± 1.97 8.34 ± 1.67 0.59 ± 0.13 0.06 ± 0.02 0.02 ± 0.01 Urine  201 ± 45.6  117 ± 17.7 11.1 ± 4.32 3.55 ± 2.05 2.36 ± 1.36 Fat 1.38 ± 0.45 0.60 ± 0.13 0.12 ± 0.04 0.04 ± 0.02 0.03 ± 0.03 Seminal 1.22 ± 0.40 0.49 ± 0.10 0.08 ± 0.02 0.04 ± 0.01 0.02 ± 0.01 Testes 2.17 ± 0.32 1.83 ± 0.58 0.64 ± 0.53 0.24 ± 0.04 0.14 ± 0.06 Intestine 1.19 ± 0.25 0.61 ± 0.17 0.18 ± 0.07 0.14 ± 0.11 0.04 ± 0.03 Stomach 0.59 ± 0.12 0.42 ± 0.15 0.25 ± 0.13 0.28 ± 0.33 0.05 ± 0.08 Spleen 1.64 ± 0.83 0.96 ± 0.29 0.45 ± 0.10 0.38 ± 0.15 0.49 ± 0.38 Liver 2.67 ± 0.37 1.89 ± 0.69 0.69 ± 0.27 0.36 ± 0.13 0.23 ± 0.13 Pancreas 1.41 ± 0.31 0.74 ± 0.18 0.12 ± 0.03 0.04 ± 0.01 0.02 ± 0.02 Adrenal glands 3.34 ± 0.45 1.78 ± 0.45 0.50 ± 0.16 0.27 ± 0.11 0.22 ± 0.18 Kidneys 13.2 ± 1.87 9.23 ± 2.18 5.80 ± 1.24 2.56 ± 0.62 1.30 ± 0.55 Lungs 8.06 ± 1.48 4.35 ± 0.82 0.72 ± 0.19 0.18 ± 0.04 0.06 ± 0.03 Heart 3.60 ± 0.52 1.91 ± 0.40 0.26 ± 0.04 0.09 ± 0.03 0.04 ± 0.02 Tumor 27.2 ± 7.55 47.6 ± 13.5 57.2 ± 15.3 59.3 ± 16.0 61.9 ± 22.3 Muscle 1.15 ± 0.19 0.58 ± 0.13 0.08 ± 0.02 0.02 ± 0.01 0.01 ± 0.01 Bone 0.89 ± 0.27 0.45 ± 0.13 0.06 ± 0.04 0.03 ± 0.02 0.02 ± 0.01 Brain 0.23 ± 0.04 0.13 ± 0.03 0.02 ± 0.01 0.01 ± 0.00 0.00 ± 0.00 Tail 6.11 ± 3.05 2.66 ± 0.90 0.31 ± 0.06 0.19 ± 0.12 0.08 ± 0.06 Thyroid 2.90 ± 0.41 1.62 ± 0.42 0.37 ± 0.06 0.15 ± 0.01 0.08 ± 0.05 Salivary 2.43 ± 0.33 1.31 ± 0.30 0.28 ± 0.04 0.11 ± 0.03 0.05 ± 0.04 Lacrimal 0.27 ± 0.08 0.15 ± 0.07 0.04 ± 0.03 0.01 ± 0.01 0.00 ± 0.00 Tumor: Blood 1.58 ± 0.26 5.81 ± 1.58  105 ± 57.4 1029 ± 459  3996 ± 2182 Tumor: Muscle 23.5 ± 4.66 83.1 ± 17.0 736 ± 333 3374 ± 1417 12777 ± 19955 Tumor: Kidney 2.07 ± 0.55 5.38 ± 1.91 10.5 ± 4.77 24.0 ± 6.93 46.4 ± 21.3 Tumor: Salivary 11.3 ± 2.76 36.4 ± 5.35  202 ± 49.3 566 ± 236 1167 ± 533  Blood: Salivary 7.04 ± 0.86 6.48 ± 1.02 2.11 ± 0.47 0.57 ± 0.17 0.31 ± 0.06

TABLE 11 Biodistribution data and tumor-to-background contrast ratios of ¹⁷⁷Lu-labeled HTK04028 in mice bearing PSMA-expressing LNCaP cancer xenografts. ¹⁷⁷Lu-HTK04028 Tissue 1 h 4 h 24 h 72 h 120 h (% ID/g) (n = 5) (n = 5) (n = 5) (n = 5) (n = 6) Blood 17.7 ± 2.10 12.2 ± 1.66 0.82 ± 0.11 0.05 ± 0.01 0.02 ± 0.00 Urine 95.3 ± 21.1 101 ± 40.6 16.2 ± 4.19 1.73 ± 0.89 1.59 ± 0.44 Fat 1.26 ± 0.21 0.89 ± 0.24 0.14 ± 0.02 0.06 ± 0.02 0.03 ± 0.01 Seminal 1.53 ± 0.97 0.90 ± 0.20 0.12 ± 0.02 0.05 ± 0.01 0.05 ± 0.03 Testes 2.26 ± 0.46 2.66 ± 0.41 0.55 ± 0.05 0.31 ± 0.05 0.22 ± 0.01 Intestine 1.23 ± 0.24 1.04 ± 0.12 0.23 ± 0.05 0.07 ± 0.03 0.08 ± 0.05 Stomach 0.51 ± 0.18 0.45 ± 0.06 0.31 ± 0.10 0.07 ± 0.07 0.10 ± 0.10 Spleen 1.53 ± 0.23 1.44 ± 0.31 0.48 ± 0.14 0.49 ± 0.16 0.69 ± 0.36 Liver 2.93 ± 0.51 2.29 ± 0.55 0.54 ± 0.09 0.22 ± 0.02 0.31 ± 0.30 Pancreas 1.53 ± 0.22 1.24 ± 0.04 0.15 ± 0.02 0.05 ± 0.01 0.03 ± 0.00 Adrenal glands 3.25 ± 0.34 2.18 ± 0.33 0.73 ± 0.13 0.48 ± 0.17 0.33 ± 0.05 Kidneys 8.30 ± 1.58 9.21 ± 2.76 4.32 ± 0.58 1.77 ± 0.25 1.16 ± 0.13 Lungs 7.88 ± 1.77 5.79 ± 0.44 1.08 ± 0.72 0.18 ± 0.02 0.09 ± 0.01 Heart 4.15 ± 0.31 2.67 ± 0.31 0.36 ± 0.03 0.12 ± 0.03 0.07 ± 0.01 Tumor 19.0 ± 5.86 42.6 ± 11.6 30.2 ± 2.74 26.1 ± 7.29 28.4 ± 5.11 Muscle 1.32 ± 0.19 0.83 ± 0.09 0.11 ± 0.02 0.03 ± 0.01 0.02 ± 0.00 Bone 0.99 ± 0.21 0.63 ± 0.10 0.11 ± 0.02 0.05 ± 0.02 0.04 ± 0.02 Brain 0.26 ± 0.03 0.19 ± 0.02 0.02 ± 0.00 0.01 ± 0.00 0.00 ± 0.00 Tail 4.85 ± 1.59 2.21 ± 0.18 0.31 ± 0.10 0.15 ± 0.04 0.10 ± 0.03 Thyroid 3.30 ± 0.42 2.30 ± 0.30 0.52 ± 0.08 0.24 ± 0.04 0.13 ± 0.02 Salivary 2.55 ± 0.21 1.75 ± 0.25 0.45 ± 0.10 0.19 ± 0.05 0.11 ± 0.03 Lacrimal 0.51 ± 0.23 0.39 ± 0.19 0.05 ± 0.04 0.01 ± 0.01 0.00 ± 0.00 Tumor: Blood 1.11 ± 0.45 3.60 ± 1.24 37.2 ± 4.22 550 ± 108 1714 ± 320  Tumor: Muscle 14.5 ± 4.46 52.2 ± 17.4  275 ± 35.3 886 ± 181 1825 ± 415  Tumor: Kidney 2.39 ± 0.99 4.89 ± 1.58 7.06 ± 0.86 14.6 ± 2.72 24.9 ± 5.16 Tumor: Salivary 7.60 ± 2.89 24.5 ± 5.95 69.3 ± 15.8  144 ± 35.6  284 ± 87.9 Blood: Salivary 6.93 ± 0.33 7.09 ± 1.45 1.88 ± 0.42 0.26 ± 0.06 0.17 ± 0.04

TABLE 12 Biodistribution data and tumor-to-background contrast ratios of ¹⁷⁷Lu-labeled HTK04048 in mice bearing PSMA-expressing LNCaP cancer xenografts. ¹⁷⁷Lu-HTK04048 Tissue 1 h 4 h 24 h 72 h 120 h (% ID/g) (n = 4) (n = 4) (n = 4) (n = 4) (n = 5) Blood 17.7 ± 2.05 12.3 ± 1.56 0.68 ± 0.11 0.12 ± 0.01 0.05 ± 0.02 Urine  232 ± 4.59  102 ± 27.2 11.5 ± 2.99 2.00 ± 0.58 1.34 ± 0.72 Fat 1.32 ± 0.17 1.00 ± 0.13 0.15 ± 0.06 0.08 ± 0.03 0.06 ± 0.03 Seminal 1.14 ± 0.17 0.92 ± 0.20 0.11 ± 0.03 0.06 ± 0.01 0.04 ± 0.01 Testes 2.25 ± 0.30 2.68 ± 0.16 0.73 ± 0.32 0.34 ± 0.03 0.26 ± 0.04 Intestine 1.26 ± 0.20 1.03 ± 0.10 0.49 ± 0.41 0.15 ± 0.09 0.05 ± 0.02 Stomach 0.74 ± 0.14 0.81 ± 0.04 0.89 ± 0.84 0.23 ± 0.16 0.03 ± 0.01 Spleen 2.54 ± 0.60 2.10 ± 0.39 0.60 ± 0.05 0.62 ± 0.14 0.92 ± 0.30 Liver 3.95 ± 0.83 2.16 ± 0.17 0.45 ± 0.04 0.26 ± 0.01 0.22 ± 0.08 Pancreas 1.70 ± 0.17 1.21 ± 0.14 0.17 ± 0.03 0.07 ± 0.01 0.04 ± 0.01 Adrenal glands 3.95 ± 0.34 2.10 ± 0.22 0.49 ± 0.04 0.34 ± 0.03 0.37 ± 0.09 Kidneys 14.5 ± 3.33 12.4 ± 1.36 5.06 ± 0.91 2.28 ± 0.24 1.69 ± 0.58 Lungs 9.01 ± 0.91 6.35 ± 0.78 1.09 ± 0.33 0.29 ± 0.05 0.15 ± 0.05 Heart 4.41 ± 0.22 2.99 ± 0.36 0.36 ± 0.04 0.16 ± 0.01 0.10 ± 0.02 Tumor 15.6 ± 2.98 46.5 ± 28.4 54.3 ± 10.6 66.3 ± 18.7 74.0 ± 35.5 Muscle 1.42 ± 0.11 1.00 ± 0.10 0.11 ± 0.01 0.04 ± 0.01 0.05 ± 0.05 Bone 1.04 ± 0.20 0.74 ± 0.09 0.11 ± 0.02 0.07 ± 0.01 0.07 ± 0.01 Brain 0.31 ± 0.02 0.18 ± 0.02 0.03 ± 0.00 0.01 ± 0.00 0.01 ± 0.00 Tail 3.57 ± 0.35 2.72 ± 0.61 0.40 ± 0.17 0.15 ± 0.03 0.19 ± 0.13 Thyroid 3.79 ± 0.23 2.69 ± 0.26 0.55 ± 0.07 0.31 ± 0.04 0.19 ± 0.01 Salivary 2.70 ± 0.29 2.01 ± 0.17 0.42 ± 0.07 0.20 ± 0.03 0.14 ± 0.02 Lacrimal 0.50 ± 0.05 0.32 ± 0.13 0.05 ± 0.01 0.01 ± 0.01 0.01 ± 0.01 Tumor: Blood 0.89 ± 0.20 4.01 ± 3.07 82.9 ± 26.3 533 ± 154 1338 ± 455  Tumor: Muscle 11.1 ± 2.19 48.9 ± 36.0  476 ± 80.2 1625 ± 244  1860 ± 673  Tumor: Kidney 1.12 ± 0.34 3.88 ± 2.77 11.0 ± 2.91 28.9 ± 7.09 44.0 ± 16.4 Tumor: Salivary 5.75 ± 0.54 23.6 ± 15.5  133 ± 31.7 351 ± 138 537 ± 257 Blood: Salivary 6.60 ± 0.83 6.14 ± 0.72 1.67 ± 0.42 0.65 ± 0.10 0.40 ± 0.16

TABLE 13 Biodistribution data and tumor-to-background contrast ratios of ¹⁸F-labeled HTK03162 and HTK04055 in mice bearing PSMA-expressing LNCaP cancer xenografts. ¹⁸F-HTK03162 ¹⁸F-HTK04055 Tissue 1 h 2 h 1 h 2 h (% ID/g) (n = 5) (n = 5) (n = 4) (n = 4) Blood 0.47 ± 0.10 0.07 ± 0.01 0.36 ± 0.08 0.16 ± 0.03 Urine 363 ± 115  143 ± 46.6 329 ± 118  149 ± 34.2 Fat 0.15 ± 0.02 0.03 ± 0.01 0.11 ± 0.04 0.03 ± 0.01 Seminal 3.82 ± 4.70 0.44 ± 0.71 0.60 ± 1.05 2.79 ± 5.49 Testes 0.23 ± 0.04 0.05 ± 0.01 0.17 ± 0.04 0.08 ± 0.01 Intestine 0.26 ± 0.08 0.25 ± 0.28 0.16 ± 0.03 0.19 ± 0.03 Stomach 0.07 ± 0.01 1.03 ± 2.09 0.07 ± 0.04 0.03 ± 0.01 Spleen 0.27 ± 0.14 0.06 ± 0.02 0.23 ± 0.04 0.11 ± 0.02 Liver 0.17 ± 0.07 0.05 ± 0.01 0.13 ± 0.02 0.10 ± 0.01 Pancreas 0.15 ± 0.05 0.02 ± 0.01 0.09 ± 0.02 0.07 ± 0.05 Adrenal glands 0.44 ± 0.10 0.08 ± 0.01 0.17 ± 0.06 0.10 ± 0.02 Kidneys 14.2 ± 6.55 2.50 ± 0.45 4.10 ± 1.05 2.98 ± 0.45 Lungs 0.52 ± 0.10 0.14 ± 0.03 0.36 ± 0.06 0.19 ± 0.04 Heart 0.17 ± 0.04 0.03 ± 0.01 0.13 ± 0.03 0.06 ± 0.01 Tumor 14.1 ± 3.71 13.9 ± 2.93 8.48 ± 2.31 10.2 ± 2.44 Muscle 0.12 ± 0.06 0.10 ± 0.11 0.09 ± 0.04 0.04 ± 0.02 Bone 0.15 ± 0.06 0.10 ± 0.03 0.10 ± 0.04 0.08 ± 0.02 Brain 0.01 ± 0.00 0.01 ± 0.00 0.02 ± 0.01 0.01 ± 0.00 Tail 0.46 ± 0.07 0.43 ± 0.63 0.49 ± 0.28 0.14 ± 0.03 Thyroid 0.20 ± 0.04 0.04 ± 0.01 0.16 ± 0.04 0.06 ± 0.01 Salivary 0.18 ± 0.03 0.05 ± 0.01 0.15 ± 0.06 0.05 ± 0.01 Lacrimal 0.06 ± 0.03 0.03 ± 0.02 0.03 ± 0.01 0.03 ± 0.01 Tumor: Blood 30.1 ± 6.62  200 ± 37.8 23.2 ± 2.96 67.5 ± 25.1 Tumor: Muscle  143 ± 73.8 423 ± 452  105 ± 46.5 277 ± 107 Tumor: Kidney 1.11 ± 0.39 5.57 ± 0.43 2.06 ± 0.06 3.53 ± 1.33

Example 1 shows that modifying the Glu sidechain in the Lys-ureido-Glu PSMA-targeting moiety in Formula I, II and III compounds (e.g. by lengthening the Glu sidechain) can significantly decrease the uptake of the tracer in kidney and salivary gland without sacrificing the tumour-to-background contrast ratio in a radiolabeled tracer (compare HTK03041 to HTK03149). The results in Example 2 further confirm that modification of the Glu sidechain provides improved imaging and therapeutic agents for PSMA-expressing diseases/conditions. In particular, it is noted that reduced kidney and salivary gland uptake is demonstrated for Formula I, II or III compounds in which R² is methylene (—CH₂—) or propylene (—CH₂—CH₂—CH₂—), or their closely related derivatives (e.g. —CH₂—O—CH₂—, —CH₂—S—CH₂—, or —CH₂—CHF—), while retaining binding of PSMA-expressing tumors. In contrast, the results in Example 2 further demonstrate that substituting R² with butylene (—CH₂—CH₂—CH₂—CH₂—), or a derivative thereof, results in poor uptake in PSMA-expressing tumors (see compounds HTK03189A and HTK03189B), indicating that binding to PSMA is severely weakened.

It is further shown in Example 2 that Formula I, II and III compounds in which R² is a derivative of ethylene (—CH₂—CH₂—) can result in reduced kidney and salivary gland uptake while retaining binding of PSMA-expressing tumors, such as when R² is substituted ethylene or other ethylene derivative. For example, when R² is —CH₂—CHF— (HTK04033 and HTK04040), the present results show that compounds of the invention can still bind well to PSMA and have much less kidney and salivary gland uptake. Notably, although HTK04040 (the S-isomer) has a relatively higher kidney uptake (76% ID/g), this is still much less than that of HTK03041 (170% ID/g), which lacks the fluoro substituent. These results therefore show that small substituents (e.g. F, CH₃, OH) do not abrogate PSMA-binding.

The results further show that the conjugation of an albumin binder further enhances tumor uptake, resulting in improved tumor-to-kidney and tumor-to-salivary gland uptake ratios, especially at later time points.

The present invention has been described with regard to one or more embodiments. However, it will be apparent to persons skilled in the art that a number of variations and modifications can be made without departing from the scope of the invention as defined in the following claims. The scope of the invention should therefore not be limited by the preferred embodiments set forth in the above Examples, but should be given the broadest interpretation consistent with the description as a whole.

The contents of U.S. provisional application No. 63/006,643, filed Apr. 7, 2020, and U.S. provisional application No. 62/865,088, filed Jun. 21, 2019, are herein incorporated by reference in their entirety. To the extent that there may be any inconsistency between the definitions therein, the definitions herein in the above paragraphs shall prevail. 

1. A compound of Formula II:

wherein: R⁰ is O; R^(1a), R^(1b), and R^(1c) are each —CO₂H; R² is —CH₂CHF—, —CHFCH₂—, —CH₂OCH₂—, or —CH₂SCH₂—; R³ is a linear C₄ alkylenyl; -(Xaa¹)₁₋₄N(R⁶)R⁵R⁴— is:

R⁶ is H, methyl or ethyl; R⁷ is: R^(x)-(Xaa²)₀₋₄,

(Xaa²)₀₋₄ is absent; (Xaa²)₁₋₄ is a tripeptide; R¹⁰ is:

 optionally modified with one or more of halogen, —OCH₃, —NH₂, —NO₂, —CN, —OH, or additional endocyclic ring nitrogen atoms, or combinations thereof; R¹¹ is absent,

R¹² is I, Br, F, Cl, H, —OH, —OCH₃, —NH₂, —NO₂, or —CH₃; and R^(x) is a radiometal chelator optionally bound to a radiometal, or a prosthetic group containing a trifluoroborate.
 2. The compound of claim 1, wherein R⁶ is H.
 3. The compound of claim 1, wherein R⁷ is: R^(x)-(Xaa²)₀₋₄ or


4. The compound of claim 1, wherein R¹⁰ is


5. The compound of claim 1, wherein: R¹¹ is

 and R¹² is —OCH₃ or Cl.
 6. The compound of claim 1, wherein R^(x) is DOTA, H₂macropa, H₄py4pa, or H₄Pypa, each of which is optionally bound to a radiometal.
 7. The compound of claim 3, wherein R¹⁰ is


8. The compound of claim 3, wherein: R¹¹ is

 and R¹² is —OCH₃ or Cl.
 9. The compound of claim 7, wherein: R¹¹ is

 and R¹² is —OCH₃ or Cl.
 10. The compound of claim 1 selected from the group consisting of:

wherein each compound is optionally bound to a radiometal.
 11. The compound of claim 1, wherein the radiometal is selected from the group consisting of ¹⁷⁷Lu, ¹¹¹In, ²¹³Bi ⁶⁸Ga, ⁶⁷Ga, ²⁰³Pb, ²¹²Pb, ⁴⁴Sc, ⁴⁷Sc, ⁹⁰Y ⁸⁶Y, ²²⁵Ac, ^(117m)Sn, ¹⁵³Sm, ¹⁴⁹Tb, ¹⁶¹Tb, ¹⁶⁵Er, ²¹²Bi, ²²⁷Th, ⁶⁴Cu, and ⁶⁷Cu.
 12. The compound of claim 10, wherein the radiometal is selected from the group consisting of ¹⁷⁷Lu and ²²⁵Ac.
 13. The compound of claim 1, wherein R⁷ is R^(x)-(Xaa²)₀₋₄- and R^(x) is DOTA, optionally chelated with ⁶⁸Ga, ¹⁷⁷Lu, or ²²⁵Ac.
 14. The compound of claim 1, wherein: R⁷ is

(Xaa²)₁₋₄ is a tripeptide; each R^(X) is independently —C(O)—(CH₂)₀₋₅R¹⁸—(CH₂)₁₋₅R¹⁷B¹⁸F₃; R¹⁸ is

R¹⁷B¹³F₃ is

 and R¹⁹ and R²⁰ are each independently C₁-C₅ linear or branched alkyl groups.
 15. A method of treating a PSMA-expressing condition or disease, comprising administering to a patient in need thereof a therapeutically effective amount of a compound of claim
 1. 16. A method of treating a PSMA-expressing condition or disease, comprising administering to a patient in need thereof a therapeutically effective amount of a compound of claim
 10. 17. The method of claim 15, wherein the PSMA-expressing condition or disease is a cancer selected from the group consisting of prostate cancer, renal cancer, breast cancer, thyroid cancer, gastric cancer, colorectal cancer, bladder cancer, pancreatic cancer, lung cancer, liver cancer, brain tumor, melanoma, neuroendocrine tumor, ovarian cancer and sarcoma.
 18. The method of claim 17, wherein the PSMA-expressing condition or disease is prostate cancer.
 19. A method of imaging PSMA-expressing tissues, comprising administering to a patient in need of such imaging an effective amount of a compound of claim 1; and imaging the tissues of the patient.
 20. The method of claim 19, wherein said imaging is performing PET or SPECT imaging. 